A woman gives birth to a healthy baby boy at 35 weeks' gestation. ...

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A woman gives birth to a healthy baby boy at 35 weeks' gestation. What factor regarding the development of the normal respiratory system should the nurse consider when performing an assessment of the neonate?
 
  A.
  As the fetus approaches term, secretion of intrapulmonary fluid increases.
  B.
  Lung expansion after birth suppresses the further release of surfactant.
  C.
  Surfactant increases alveolar surface tension, allowing re-expansion after exhalation.
  D.
  Surfactant production is sufficient to maintain alveolar stability by about 34 weeks.

Question 2

A postpartum woman who had a prolonged labor presents to the clinic complaining of abdominal pain, high fevers with chills, and back pain. The nurse notes the patient's heart rate is 142 beats/minute,
 
  and her abdomen is tender with hypoactive bowel sounds. The patient will be admitted, and when giving report to the hospital nurse, the clinic nurse advises that the patient will probably receive what initial treatment? (Select all that apply.)
  A.
  Antibiotics
  B.
  Coumadin
  C.
  Forced fluids
  D.
  Heparin
  E.
  Ibuprofen (Motrin)

[mmpiza]

Answer to Question 1

ANS: D
As the fetus approaches term, there is a decrease in the secretion of intrapulmonary fluid, which assists in reducing the pulmonary resistance to blood flow and facilitates the initiation of air breathing. Lung expansion after birth stimulates the release of surfactanta slippery, detergent-like lipoprotein. Surfactant causes decreased surface tension within the alveoli, which allows for alveolar re-expansion following each exhalation. Under normal circumstances, by the 34th to 36th week of gestation, surfactant is produced in sufficient amounts to maintain alveolar stability.

Answer to Question 2

ANS: A, C, D, E
This woman has manifestations of a septic pelvic thrombophlebitis. Initial treatment includes rest; compression stockings; a high-protein, high-vitamin C diet; antibiotics; increased fluids; heparin; and ibuprofen for fever and pain. Coumadin may be needed for long-term therapy but not as a first-line treatment.

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Gracias!

[mochi09]

TYSM