A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider?

Pale and a 24-hr fluid deficit of 30 mL

Decreased appetite and irritability

Temperature 38° C (100.4° F) and pulse rate 124/min

Sunken fontanels and dry mucous membranes

Answer and Explanation

The Correct Answer is D

A.   A small fluid deficit of 30 mL is not concerning unless it worsens or additional symptoms develop.
B.   Decreased appetite and irritability can be expected with gastroenteritis and may not require immediate intervention.
C.   A mild fever and increased pulse rate can be expected, but if these values remain stable and other signs of dehydration or worsening illness are absent, they do not require immediate intervention.
D.   Sunken fontanels and dry mucous membranes are signs of dehydration and should be reported to the provider immediately.

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Correct Answer is C

Explanation

A. Vomiting is not a common complication following amniocentesis.
B. Epigastric pain could indicate other complications, but it is not typically associated with amniocentesis.
C. Contractions are a common complication after amniocentesis, especially if labor is being triggered or if there is irritation to the uterus.
D. Hypertension is not a typical complication of amniocentesis; however, if present, it should be investigated for other causes.

A. Insert a pillow under the client's knees. B. Assist the client into the lithotomy position. C. Position the client in reverse Trendelenburg D. Place a wedge under one of the client's hips.

Correct Answer is D

Explanation

A. Inserting a pillow under the knees can lead to pressure on the lower abdomen, potentially compromising blood flow.
B. The lithotomy position may not be appropriate for placental blood flow.
C. Reverse Trendelenburg may increase blood pressure and affect placental perfusion.
D. Placing a wedge under the client's hip is a common technique to prevent supine hypotension syndrome, which could compromise placental blood flow.

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A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider?

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A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider?