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Author Question: After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines ... (Read 88 times)

abarnes

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After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests?
 
  A) Human placental lactogen (hPL)
  B) Estrogen (estriol)
  C) Progesterone (progestin)
  D) Human chorionic gonadotropin (hCG)

Question 2

Which of the following would the nurse include in the pre-operative plan of care for an infant with myelomeningocele?
 
  A) Positioning supine with a pillow under the buttocks
  B) Covering the sac with saline-soaked non-adhesive gauze
  C) Wrapping the infant snugly in a blanket
  D) Applying a diaper to prevent fecal soiling of the sac



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Jevvish

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Answer to Question 1

D
Response:
The placenta produces hCG, which is the basis for pregnancy tests. This hormone preserves the corpus luteum and its progesterone production so that the endometrial lining is maintained. Human placental lactogen modulates fetal and maternal metabolism and participates in the development of the breasts for lactation. Estrogen causes enlargement of the woman's breasts, uterus, and external genitalia and stimulates myometrial contractility. Progesterone maintains the endometrium.

Answer to Question 2

B
Response:
For the infant with a myelomeningocele, saline-soaked non-adhesive gauze or antibiotic-soaked gauze is used to keep the sac moist. The infant is positioned prone, with a folded towel under the abdomen, so that the urine and feces flow away from the sac. A warmer or isolette is used to keep the infant warm. Blankets are avoided because they could place excess pressure on the sac. Diapering may be contraindicated to avoid placing pressure on the sac.





 

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