A nurse is caring for a client who is postpartum.
The client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well.
Which of the following statements should the nurse make?

"The best way to determine if your baby can hear is to clap your hands loudly and see if she startles.”

"Look at how she looks at you when you speak. That's a good sign.”

"We do routine hearing screenings on newborns. You'll know before you leave the hospital if additional evaluation is recommended.”.

"There is no need to worry about that. Most forms of hearing loss are not inherited.”

Answer and Explanation

The Correct Answer is C

Choice A rationale

Clapping hands to assess hearing is not a reliable method and could startle the baby for reasons unrelated to hearing ability.

Choice B rationale

While a newborn might respond to visual stimuli, this is not a definitive method to assess hearing.

Choice C rationale

Routine hearing screenings using objective tests are the best way to determine a newborn's hearing ability, providing accurate and early detection of potential hearing issues.

Choice D rationale

This statement is misleading, as some forms of hearing loss can be inherited. It's important to use accurate methods to assess newborn hearing.

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Correct Answer is []

Explanation

The client most likely has umbilical cord compression, as evidenced by the presence of variable decelerations in fetal heart rate (FHR) and uterine tenderness. Umbilical cord compression is the most plausible condition given the symptoms and clinical indicators. Variable decelerations in FHR often indicate transient umbilical cord compression. Uterine tenderness can be associated with positional changes that exacerbate compression. These findings necessitate immediate intervention to improve fetal oxygenation and monitor ongoing fetal well-being.

Parameters:

Variable decelerations in FHR: Indicate intermittent cord compression, leading to changes in fetal oxygenation, necessitating continuous monitoring.
Uterine tenderness: Suggests possible positional issues or complications related to compression, requiring careful assessment to ensure optimal fetal and maternal health.

Actions:

Change client position: Positional changes can relieve pressure on the umbilical cord, improving fetal oxygenation.
Initiate continuous fetal monitoring: Essential to assess the ongoing status of fetal heart rate and detect any further decelerations or complications promptly.

Other Conditions:

Dysfunctional labor: Typically associated with abnormal progression of labor, not directly indicated by variable decelerations or uterine tenderness alone.
Placental abruption: Characterized by painful bleeding and abdominal pain, not suggested by the provided data.
Pre-eclampsia: Marked by high blood pressure and proteinuria, absent in this case.

A. Placenta formation. B. Fertilization. C. Organogenesis. D. Implantation.

Correct Answer is C

Explanation

Choice A rationale

Placenta formation begins shortly after implantation, but it continues to develop throughout the first trimester and into the early second trimester, making it less precise to attribute the first 8 weeks solely to this process.

Choice B rationale

Fertilization occurs within the first week after ovulation, marking the beginning of pregnancy, but it is a singular event that happens prior to the developmental processes vulnerable to teratogens.

Choice C rationale

Organogenesis is the critical period during which the major organs and structures of the fetus form, typically occurring between the third and eighth weeks of gestation. This is the time when the fetus is most susceptible to the effects of teratogens, which can cause congenital anomalies.

Choice D rationale

Implantation occurs approximately 6-10 days after fertilization, embedding the blastocyst into the uterine lining. While crucial, it is not the primary period when teratogenic effects are most significant, as this happens during organogenesis.

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A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?

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A nurse is caring for a female client in labor in the labor and delivery unit. Exhibits Complete the following Bowtie question by selecting 1 condition, 2 parameters to monitor, and 2 actions to take.

Correct Answer is []

Explanation

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Correct Answer is C

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A nurse is caring for a client who is postpartum.
The client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well.
Which of the following statements should the nurse make?