Author Question: The mother of a 3-pound, 2-ounce premature baby is in the neonatal ICU observing her baby sleeping. ... (Read 135 times)

james0929 · **on:** Jun 27, 2018

The mother of a 3-pound, 2-ounce premature baby is in the neonatal ICU observing her baby sleeping. She states, He is so tiny, I know I'll never be able to care for him. What is the nurse's best response?

a. Is there someone at home who can help you with the baby the first few weeks?
b. The public health nurse will come to your home to show you how to care for the baby.
c. You can help with care of the baby before he goes home.
d. You will do fine. They are not as fragile as they look.

Question 2

To reassure and educate their pregnant patients about changes in their blood pressure, maternity nurses should be aware that:

a. A blood pressure cuff that is too small produces a reading that is too low; a cuff that is too large produces a reading that is too high.
b. Shifting the patient's position and changing from arm to arm for different mea-surements produces the most accurate composite blood pressure reading at each visit.
c. The systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant.
d. Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy.

xiazhe · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
By having the mother help with the care before the baby is discharged will address her question now before they are discharged. The other options do not properly address the mother's concern now.

Answer to Question 2

D

Feedback
A The tightness of a cuff that is too small produces a reading that is too high; si-milarly, the looseness of a cuff that is too large results in a reading that is too low.
B Because maternal positioning affects readings, blood pressure measurements should be obtained in the same arm and with the woman in the same position.
C The systolic blood pressure generally remains constant but may decline slightly as pregnancy advances. The diastolic blood pressure first drops and then gradu-ally increases.
D This compression also leads to varicose veins in the legs and vulva.