Author Question: Early diagnosis of congenital hypothyroidism (CH) and phenylketonuria (PKU) is essential to prevent ... (Read 31 times)

dakota nelson · **on:** Jun 28, 2018

Early diagnosis of congenital hypothyroidism (CH) and phenylketonuria (PKU) is essential to prevent which?

a. Obesity
b. Diabetes
c. Cognitive impairment
d. Respiratory distress

Question 2

After birth of the placenta the patient states, All of a sudden I feel very cold. What is the best nursing action in response to this statement?

a. Place a warm blanket over the patient.
b. Place the baby on the patient's abdomen.
c. Tell the patient that chills are expected after birth.
d. What do you mean by your words very cold'?

zacnyjessica · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Untreated, both PKU and CH cause cognitive impairment. With newborn screening and early intervention, cognitive impairment from these two disorders can be prevented. Obesity, diabetes, and respiratory distress do not result from both CH and PKU.

Answer to Question 2

ANS: A
Many women are chilled after birth. The cause of this reaction is unknown but probably relates to the sudden decrease in effort, loss of the heat produced by the fetus, decrease in intraabdominal pressure, and fetal blood cells entering the maternal circulation. The chill lasts for about 20 minutes and subsides spontaneously. A warm blanket, hot drink, or soup may help relieve the chill and make the woman more comfortable. Placing the baby on her abdomen may result in transfer of heat and make her feel even colder. Reassurance is appropriate after the blanket is provided. Validation of an expected physical response to the birthing process results in a delay of care and is unnecessary.