A nurse is assessing a client who has anaphylactic shock due to a bee sting.

Which of the following findings should the nurse expect?

This is because postmature babies lose the protective vernix that covers their skin in utero, and their skin becomes dry and cracked.Postmature babies also have less subcutaneous fat, which makes them look thin and wrinkled.

Choice A is wrong because postmature babies have less body fat than term babies, not more.They use up their fat stores to survive in the womb beyond 42 weeks of gestation.

Choice B is wrong because postmature babies have well-developed breast buds and areola, not flat ones.Breast development is a sign of fetal maturity that occurs around 36 weeks of gestation.

Choice C is wrong because postmature babies have less flexibility in their joints and muscles, not more.They have less amniotic fluid to cushion their movements, and their bones become more ossified as they grow older.

Normal ranges for gestational age are 37 to 42 weeks.Babies born before 37 weeks are considered preterm, and babies born after 42 weeks are considered postmature.

This is because phototherapy can damage the baby’s eyes and cause retinal injury.Eye pads should be used to protect the baby’s eyes from the light and should be removed every 4 hours to check for infection or injury.

Choice B is wrong because turning the lights off for ten minutes every hour would reduce the effectiveness of phototherapy and prolong the treatment time.Phototherapy aims to expose the baby’s skin to as much light as possible.

Choice C is wrong because clothing the baby in a shirt and diaper only would limit the amount of skin exposed to the light.The baby should be naked or wear only a diaper during phototherapy.

Choice D is wrong because tightly swaddling the baby in a baby blanket would also limit the amount of skin exposed to the light and increase the risk of overheating.The baby should be loosely wrapped or uncovered during phototherapy.