Which purpose of placental functioning should the nurse include in prenatal education?

It maintains the temperature of the fetus

It prevents all antibodies and viruses from passing to the fetus

It is responsible for nutrient and gas exchange

It cushions and protects the fetus

Answer and Explanation

The Correct Answer is C

A. It maintains the temperature of the fetus: The placenta does not directly regulate the fetus's body temperature. The amniotic fluid and the mother's body contribute to temperature regulation, but this is not the primary function of the placenta.

B. It prevents all antibodies and viruses from passing to the fetus: The placenta acts as a selective barrier, allowing some substances, such as antibodies, to pass through while blocking others, like certain viruses. However, it does not prevent all viruses or harmful substances from reaching the fetus.

C. It is responsible for nutrient and gas exchange: The placenta plays a critical role in exchanging nutrients, oxygen, and waste products between the mother and fetus. This exchange is essential for fetal growth and development, making it one of the primary functions of the placenta.

D. It cushions and protects the fetus: While the amniotic fluid and sac offer cushioning and physical protection, the placenta's main function is nutrient and gas exchange. The placenta does not serve as a cushion for the fetus; that role is primarily fulfilled by the amniotic fluid.

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Correct Answer is D

Explanation

A. Abdominal discomfort: While burping can help relieve some discomfort after feeding, the primary concern following pyloric stenosis surgery is avoiding pressure on the incision line, rather than just abdominal discomfort.

B. Intestinal obstruction: Burping after feedings can help reduce the buildup of air in the stomach, but it is not directly aimed at preventing intestinal obstruction. Obstruction is more related to the surgical site and healing process, not the burping.

C. Contaminating flatulence: Flatulence is not a concern related to burping after pyloric stenosis surgery. Burping is done to release air swallowed during feeding, not to manage flatulence.

D. Pressure on the incision line: Burping helps to release any air swallowed during feeding, reducing abdominal distention and minimizing pressure on the surgical site. This is important to ensure proper healing and comfort after the procedure.

A. Restrict the intake of fruit, vegetables, and fluid B. Expect to have the shunt replaced as the child grows C. Examine the site every year for signs of swelling or redness D. Observe the child for signs of increased intracranial pressure E. Notify the health provider if the child develops a fever

Correct Answer is ["B","D","E"]

Explanation

A. Restrict the intake of fruit, vegetables, and fluid: There is no need to restrict the intake of fruit, vegetables, or fluids for a child with a ventriculoperitoneal (VP) shunt. Maintaining proper hydration and nutrition is essential for overall health, and a balanced diet is encouraged.

B. Expect to have the shunt replaced as the child grows: As the child grows, the ventriculoperitoneal shunt may need to be replaced or adjusted to accommodate the growing head and body. This is an important aspect of long-term management of the condition.

C. Examine the site every year for signs of swelling or redness: It is important to monitor the shunt site daily or regularly, more frequently than once a year. Parents should be taught to check the site for signs of infection, swelling, or redness and to notify the healthcare provider if any of these occur.

D. Observe the child for signs of increased intracranial pressure: Increased intracranial pressure (ICP) is a critical concern for children with a VP shunt. Symptoms such as vomiting, lethargy, irritability, or changes in behavior may indicate increased ICP, which requires immediate medical attention.

E. Notify the health provider if the child develops a fever: A fever can be a sign of infection, which could indicate a complication with the shunt, such as an infection of the shunt or its components. Parents should notify the healthcare provider promptly if the child develops a fever.

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Which purpose of placental functioning should the nurse include in prenatal education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Following surgery for pyloric stenosis, an infant should be burped well following feedings primarily to prevent:

Correct Answer is D

Explanation

The nurse is preparing teaching for the parents of a newborn with a newly-placed ventriculoperitoneal shunt. What should the nurse include in this teaching? Select all that apply

Correct Answer is ["B","D","E"]

Explanation

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