Author Question: The doctor performs a pelvic examination on the woman in labor and informs her that the baby is in ... (Read 32 times)

SGallaher96 · **on:** Jul 22, 2018

The doctor performs a pelvic examination on the woman in labor and informs her that the baby is in the footling breach position. When the physician leaves the room, the client asks the nurse what that means. The nurse's best response includes:

1. The buttocks are presenting first, with the feet flexed on the abdomen.
2. The buttocks are presenting first, with the feet close to the head.
3. The head and one foot will present first.
4. One or both feet are presenting first.

Question 2

The nurse admits a 14-month-old infant with a history of prematurity, born at 25 weeks' gestation, to the pediatric unit.

The mother reports that the infant has had several episodes of sudden respiratory distress with coughing, shortness of breath, circumoral cyanosis, and retractions. When the client is diagnosed with asthma, the mother asks the nurse, Will this be a problem he'll have for the rest of his life? The nurse's best response is: 1. Yes, but there are ways to reduce the frequency of episodes.
2. It's possible this could be a lifelong problem, or he could outgrow it as he grows.
3. Everyone is different, so it's hard to predict what will happen.
4. He will probably always be asthmatic because he was born prematurely.

josephsuarez · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4
Rationale: A footling breach indicates one or both of the feet will present first. This increases the risk to the baby, who will deliver the biggest part of the body last, and might get stuck, so attempts might be made to turn the baby, or a cesarean section might be indicated.

Answer to Question 2

2
Rationale: Children with asthma could outgrow it, and they might have no further episodes after age 7-11, or it can be a lifelong condition. While it is not possible to predict, that answer provides insufficient information to the parent. Identifying triggers for asthma attacks can reduce the frequency, so part of this option is true. Prematurity increases the risk for asthma but does not indicate whether the condition will improve or disappear when the child ages.