A father asks the nurse how the baby can exist in fluid for so long without resulting in some harmful effects on the skin.
The nurse's best reply would be:

A soft lanugo hair protects the skin from exposure to the amniotic fluid.

We will apply cream to the baby's skin after delivery to make it smooth and soft.

The baby's skin is covered with a protective fatty substance called vernix caseosa.

There is a thick layer of subcutaneous fat on the baby so the water doesn't harm the skin.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Lanugo is a fine hair that covers the fetus but does not primarily protect the skin from amniotic fluid exposure. It mainly helps in thermoregulation and the adherence of the vernix caseosa.

Choice B rationale

While skin care after birth is important, applying cream post-delivery does not explain why the skin is protected during gestation.

Choice C rationale

Vernix caseosa is a protective, cheese-like coating that covers the fetus's skin. It provides a barrier against the amniotic fluid, preventing maceration of the skin during the pregnancy.

Choice D rationale

Although subcutaneous fat develops in the fetus, it is not responsible for protecting the skin from amniotic fluid. The primary protective mechanism is the vernix caseosa.

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Correct Answer is D

Explanation

Choice A rationale

During pregnancy, the body’s production of red blood cells usually increases to meet the increased demands of the growing fetus. Therefore, a drop in hematocrit is not typically due to insufficient red blood cell production.

Choice B rationale

While iron is essential during pregnancy, a reduction in hematocrit levels at 16 weeks' gestation is primarily due to increased plasma volume, rather than iron deficiency. Nutritional counseling may still be beneficial but isn't the primary explanation for this change.

Choice C rationale

A hematocrit level of 34% at 16 weeks is generally not considered indicative of a severe problem. Instead, it is a physiological response to increased plasma volume, known as dilutional anemia of pregnancy.

Choice D rationale

The primary reason for a lower hematocrit count during pregnancy is the increase in blood plasma volume, leading to dilutional anemia. This is a normal adaptation to pregnancy that ensures adequate blood flow to the fetus.

A. The client is not experiencing a rubella infection at this time. B. The client requires a rubella vaccination at this time. C. The client is immune to the rubella virus. D. The client has a mild rubella infection that doesn't require treatment.

Correct Answer is C

Explanation

Choice A rationale

A rubella titer of 1: indicates the presence of antibodies against the rubella virus, but this does not confirm the absence of a current infection. The titer represents past exposure or vaccination rather than an active infection.

Choice B rationale

A rubella titer of 1: suggests immunity to the rubella virus, making vaccination unnecessary at this time. Vaccination is typically recommended for those without immunity to prevent future infection.

Choice C rationale

A titer of 1: indicates the presence of antibodies sufficient to confer immunity to the rubella virus. This level is generally considered protective, implying the client has either had the infection before or has been vaccinated.

Choice D rationale

A mild rubella infection would not typically be determined solely by the titer level. Clinical symptoms and further diagnostic tests are required to diagnose an active rubella infection accurately.

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A father asks the nurse how the baby can exist in fluid for so long without resulting in some harmful effects on the skin.The nurse's best reply would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pregnant client, at 16 weeks' gestation, has a hematocrit of 34%. Her pre-pregnancy hematocrit was 40%. Which of the following statements by the nurse best explains this change?

Correct Answer is D

Explanation

A nurse is caring for an antepartum client whose laboratory findings indicate a rubella titer of 1:15. Which of the following is the correct interpretation of this data?

Correct Answer is C

Explanation

A nurse is teaching a client that is HIV positive about HIV treatment.The client is 16 weeks pregnant.Which statement made by the client indicates that she needs more teaching?

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During the third trimester of pregnancy, the nurse knows that the client may be experiencing which of the following common symptoms?

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A nurse is speaking with a client who is 6 weeks' gestation.The client tells the nurse that she smokes one pack per day, but is trying to quit.The nurse should explain that newborns born to women who smoke are at risk for:

A father asks the nurse how the baby can exist in fluid for so long without resulting in some harmful effects on the skin.
The nurse's best reply would be: