The nurse is teaching a parent who delivered the baby with vacuum-assisted delivery. Which of the following statements will confirm to the nurse that the teaching was effective?

My baby has a higher risk of developing jaundice.

This procedure was required because my baby was breech.

The vacuum was required because I did not dilate past 6 centimetres.

My baby’s head will be cone-shaped for about 2 months.

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement indicates the parent's understanding that vacuum-assisted deliveries can sometimes lead to an increased risk of jaundice. The use of a vacuum can cause bruising on the baby's scalp, which can lead to the breakdown of red blood cells, thereby increasing bilirubin levels. Elevated bilirubin levels can cause jaundice in newborns. Recognizing this potential risk and monitoring the baby for signs of jaundice is an essential aspect of post-delivery care.

Choice B reason: Stating that the procedure was required because the baby was breech is incorrect. Vacuum-assisted delivery is typically used in cases where the baby is in a cephalic (head-first) position and there are difficulties in progressing through the birth canal, such as when the mother is exhausted, or the baby needs to be delivered quickly due to fatal distress. Breech presentations often necessitate a caesarean section instead of a vacuum-assisted delivery.

Choice C reason: The assertion that the vacuum was required because the mother did not dilate past 6 centimetres is inaccurate. Vacuum-assisted delivery is not related to cervical dilation but rather to difficulties encountered during the second stage of Labor (pushing phase). The decision to use a vacuum is made when the baby is in the birth canal, and additional assistance is needed to facilitate delivery.

Choice D reason: Stating that the baby’s head will be cone-shaped for about 2 months is also incorrect. While a vacuum-assisted delivery can result in a temporary cone-shaped head (known as "caput succedaneum" or melding), this typically resolves within a few days to weeks after birth. It is not expected to last for two months. Proper education should clarify the temporary nature of the head shape changes.

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Correct Answer is C

Explanation

Choice A reason: Identifying the patient's nutritional needs is important, but given the significant weight loss and the patient's distorted body image, it is crucial to first address the underlying psychological issues.

Choice B reason: Providing a structured environment can be beneficial for patients with eating disorders, but it is not the most immediate priority in this case. The primary concern is the patient's mental health and distorted body image.

Choice C reason: Requesting a mental health consult is the priority intervention. The patient's significant weight loss, low body weight, and belief that they are fat suggest the possibility of an eating disorder, such as anorexia nervosa. A mental health professional can provide a comprehensive evaluation and appropriate psychological support and intervention.

Choice D reason: Planning a therapeutic diet is important for the long-term management of the patient's nutritional status, but it should follow after addressing the immediate mental health concerns. Proper treatment of an eating disorder requires a multidisciplinary approach, including psychological, nutritional, and medical interventions.

A. Seek medical attention if the newborn has a fever. B. Watch out for yellowing of the skin or eyes. C. Adhere to the recommended vaccine schedule. D. Administer factor VIII replacement as indicated. E. Provide oral penicillin V potassium to prevent infection.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Seeking medical attention if the newborn has a fever is crucial for children with sickle cell anaemia. Fever can be an early sign of infection, and children with sickle cell anaemia are at a higher risk for infections. Prompt medical evaluation and treatment are necessary to prevent severe complications.

Choice B reason: Watching out for yellowing of the skin or eyes (jaundice) is important because it can indicate homolysis, a common issue in sickle cell anaemia where red blood cells break down rapidly. Identifying jaundice early allows for timely medical intervention to address underlying causes and prevent further complications.

Choice C reason: Adhering to the recommended vaccine schedule is essential for protecting children with sickle cell anaemia from preventable infections. Their immune systems are often compromised, making them more susceptible to infections that vaccines can help prevent.

Choice D reason: Administering factor VIII replacement is not relevant to sickle cell anaemia. Factor VIII replacement is a treatment for haemophilia, a different blood disorder. This intervention is not applicable in the context of sickle cell anaemia education.

Choice E reason: Providing oral penicillin V potassium to prevent infection is a standard recommendation for children with sickle cell anaemia. Daily prophylactic penicillin helps reduce the risk of serious infections, particularly from Streptococcus pneumoniae, which can be life-threatening in these patients.

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The nurse is teaching a parent who delivered the baby with vacuum-assisted delivery. Which of the following statements will confirm to the nurse that the teaching was effective?

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Correct Answer is C

Explanation

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Correct Answer is ["A","B","C","E"]

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