The nurse is caring for a patient experiencing precipitous Labor. What complication will the nurse monitor this patient for?

Maternal hypertension

Postpartum haemorrhage

Newborn hyperglycaemia

Premature rupture of membranes

Answer and Explanation

The Correct Answer is B

Choice A reason: Maternal hypertension, or high blood pressure, is not directly associated with precipitous Labor. While hypertension can be a concern during pregnancy, it is not a primary complication resulting from a rapid Labor process. The nurse's focus would be on other specific complications that arise from precipitous Labor.

Choice B reason: Postpartum haemorrhage is a significant risk for patients experiencing precipitous Labor. Rapid Labor can lead to excessive uterine contractions, which might cause trauma to the birth canal, including lacerations and uterine atony (failure of the uterus to contract properly after delivery). These conditions can lead to significant blood loss and necessitate close monitoring and intervention to manage and mitigate the haemorrhage.

Choice C reason: Newborn hyperglycaemia, which refers to elevated blood sugar levels in the newborn, is not related to the process of precipitous Labor. This condition is more commonly associated with maternal diabetes and is not a typical complication the nurse would monitor for in this scenario.

Choice D reason: Premature rupture of membranes, which refers to the breaking of the amniotic sac before Labor begins, is not a complication resulting from precipitous Labor. It is a condition that can precede Labor but is not caused by the rapid progression of Labor. The nurse would be more concerned with managing complications directly related to the rapid Labor and delivery process.

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Correct Answer is A

Explanation

Choice A reason: Walking unaided is a significant gross motor milestone that may be delayed in a child with chronic lung disease due to decreased physical stamina and energy levels. These children may tire easily, making it more challenging to develop the strength and coordination needed to walk independently. The need for supplemental oxygen can further limit the child's mobility and opportunities for practicing walking.

Choice B reason: Holding a crayon is a fine motor skill that may not be as significantly affected by chronic lung disease. While any serious health condition can impact overall development, fine motor skills like holding a crayon can be practiced in less physically demanding ways, even if the child has reduced stamina.

Choice C reason: Copying a circle is a developmental milestone typically expected later, around 3 years old. At 12 months, a child is not expected to perform this task, so it is not relevant in this context for identifying a delay at this age.

Choice D reason: Speaking 15 words is a language milestone that can be affected by various factors. However, chronic lung disease more directly impacts physical stamina and gross motor skills rather than speech development. While any health issue can influence overall development, speech and language milestones might not be as immediately impacted by chronic lung disease.

A. Burping the baby on their shoulder. B. Swaddling the baby in the bassinet. C. Placing the baby on their side for sleep. D. Waking the baby for feedings.

Correct Answer is C

Explanation

Choice A reason: Burping the baby on their shoulder is a common and effective method to help release air that the baby may have swallowed during feeding. It does not require further teaching.

Choice B reason: Swaddling the baby in the bassinet can help the baby feel secure and sleep better. However, it is important to ensure that the swaddle is not too tight and that the baby's hips can move freely to prevent hip dysplasia.

Choice C reason: Placing the baby on their side for sleep is not recommended due to the increased risk of sudden infant death syndrome (SIDS). The safest sleep position for babies is on their back, on a firm mattress, without any loose bedding or soft toys.

Choice D reason: Waking the baby for feedings is often necessary, especially in the early weeks, to ensure that the baby gets enough nutrition and maintains an adequate weight gain. It does not require further teaching.

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The nurse is caring for a patient experiencing precipitous Labor. What complication will the nurse monitor this patient for?

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