A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Polycythemia
Facial palsy
Bronchopulmonary dysplasia
Hypoglycemia
The Correct Answer is B
Rationale:
A. Polycythemia: Polycythemia, an elevated red blood cell count, is not typically associated with forceps-assisted birth.
B. Facial palsy:
Correct answer. Facial palsy, or weakness or paralysis of facial muscles, can occur as a complication of forceps-assisted birth due to pressure or trauma to the facial nerve during delivery.
C. Bronchopulmonary dysplasia: Bronchopulmonary dysplasia is a lung condition primarily affecting premature infants and is not directly related to the method of delivery.
D. Hypoglycemia: Hypoglycemia, low blood sugar levels, can occur in newborns for various reasons but is not specifically associated with forceps-assisted birth unless there are other complicating factors.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Polyuria is not a common adverse effect of opioid analgesics administered via epidural block.
B. Bilateral crackles are not typically associated with opioid analgesics administered via epidural block.
C. Hyperglycemia (high blood sugar levels) is not a common adverse effect of opioid analgesics administered via epidural block.
D. Hypotension is a common adverse effect of opioid analgesics administered via epidural block. Opioids can cause peripheral vasodilation and decreased systemic vascular resistance, leading to a drop in blood pressure.
Correct Answer is C
Explanation
A. While an autopsy can be an option for determining the cause of stillbirth, it is not a requirement, and the decision should be made by the parents. This statement may add undue pressure on the client.
B. There is no legal requirement for parents to name a stillborn fetus. This can be a sensitive topic, and it is essential to respect the parents' wishes and feelings in this regard.
C. Providing the client with photos of the fetus can help the parents in their grieving process, allowing them to create memories and acknowledge their loss. This action can offer emotional support and validation of their experience.
D. Limiting the time the fetus is in the client's room may not consider the parents' need for closure and the opportunity to say goodbye. Encouraging the family to spend time with their stillborn child can be an important aspect of the grieving process.
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