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After a lengthy labor, a primigravid client gives birth to a healthy newborn boy with a moderate amount
of skull molding. What information would the nurse include when explaining to the parents about this
condition?
a)It is typically seen with breech births.
b)It usually lasts a day or two before resolving.
c)It is unusual when the brow is the presenting part.
d)Surgical intervention may be necessary to alleviate pressure. - ✔✔b)it usually lasts a day or two before
resolving
Explanation: Molding occurs with vaginal births and is commonly seen in newborns. This is especially
true with primigravid clients experiencing a lengthy labor process. Parents need to be reassured that it is
not permanent and that it typically lasts a day or two before resolving. Molding rarely is present if the
fetus is in a breech or brow presentation. Surgical intervention is not necessary.
A client who has a history of Crohn's disease is admitted to the hospital with fever, diarrhea, cramping,
abdominal pain, and weight loss. The nurse should review the client's laboratory reports to determine
which potential complication of the client's symptoms?
a)hyperalbuminemia
b)thrombocytopenia
c)hypokalemia
d)hypercalcemia - ✔✔c)hypokalemia
Explanation: Hypokalemia is the most expected laboratory finding owing to the diarrhea.
Hypoalbuminemia can also occur in Crohn's disease; however, the client's potassium level is of greater
importance at this time because a low potassium level can cause cardiac arrest. Anemia is an expected
development, but thrombocytopenia is not. Calcium levels are not affected.