The client asks the nurse why there is a small amount of blood on ...

[Caiter2013]

The client asks the nurse why there is a small amount of blood on her daughter's diaper. Initially, which response by the nurse would be most helpful?
 
  a. It is possible that your baby experienced birth trauma that has caused some bleeding.
  b. Your baby may have an infection that will need to be evaluated by the physician.
  c. Breastfed babies often experience this type of bleeding problem due to lack of vitamin K in the mother's breast milk.
  d. Some female infants experience menstrua-tion-like bleeding when hormones from the mother are no longer in their systems.

Question 2

You are collecting data on a client who may have endometriosis. You suspect that her subjective data would include which of the following? (Select all that apply.)
 
  a. GI symptoms d. Pelvic tenderness
  b. Pelvic heaviness e. Abnormal bleeding
  c. Fixed uterus f. Cyclic dyspareunia

[frankwu0507]

Answer to Question 1

D
The response by the nurse which would be most helpful would be, Some female infants experience menstruation-like bleeding when hormones from the mother are no longer in their systems, because it is factual and professionally responsible. The other responses are either inappropriate or nontherapeutic.

Answer to Question 2

A, B, E, F
The client's subjective data would most likely include: GI symptoms, pelvic heaviness, abnormal bleeding, and cyclic dyspareunia. Fixed uterus and pelvic tenderness are examples of objective data.