A mother and her 4-week-old infant have arrived for a health ...

[acc299]

A mother and her 4-week-old infant have arrived for a health maintenance visit. Which of the following activities will the nurse perform?
 
  A) Assess the child for an upper respiratory infection
  B) Take a health history for a minor injury
  C) Administer a varicella injection
  D) Plot the child's head circumference on a growth chart

Question 2

Which client situation presents the greatest risk for the occurrence of hypotonic dysfunc-tion during labor?
 
  a. A primigravida who is 17 years old
  b. A 22-year-old multiparous woman with ruptured membranes
  c. A multiparous woman at 39 weeks of gestation who is expecting twins
  d. A primigravida who has requested no analgesia during her labor

[eliasc0401]

Answer to Question 1

D

Answer to Question 2

C
Overdistention of the uterus in a multiple pregnancy is associated with hypotonic dysfunction because the stretched uterine muscle contracts poorly.
A young primigravida usually will have good muscle tone in the uterus. This prevents hypo-tonic dysfunction.
There is no indication that this woman's uterus is overdistended, which is the main cause of hypotonic dysfunction.
A primigravida usually will have good uterine muscle tone, and there is no indication of an overdistended uterus.

[acc299]

Excellent

[bimper21]

Gracias!