Question

After obtaining report, the nurse looks in the computer for Aminiah's prenatal record and lab reports. She is Blood type A+, Rubella immune, and GBS negative. The nurse enters Aminiah's room to begin the initial admission assessment. SELECT THE FIRST TWO NURSING ACTIONS IN THE ORDER THAT THEY SHOULD BE IMPLEMENTED:

a. Wash hands and introduce self to the client and her husband.Washing hands upon entering the room is a priority for prevention of infection. Introductions before touching the client is professional behavior.
b. Ask client and her husband what they prefer to be called.Use of first names and surnames vary among cultural groups, so nurses should not make assumptions, because of the use of a person's first name may be considered disrespectful. If the person has a title, such as doctor, it should be used. The nurse should ask what the person prefers to be called and record this in the health record for future reference.
c. Ask if there is need for an interpreter or translator and any specific privacy needs during the assessment.Speaking and reading may not occur in the same language. Interpreter is for oral communication and translator for written words. Individuals should be asked about their privacy needs and reservations related to touching, assessments, and gender of the healthcare personnel.
d. Ask permission prior to touching the patient. Obtain her vital signs, fetal heart tones, and perform a pain assessment. Ask about time of rupture of membranes and observe color of fluid.The appropriateness of touch varies with each culture. Establish rapport with introductions and make sure client understands prior to touching her to obtain vital signs and fetal heart tones. This action determines the stability of the mother and fetus with a baseline. A change in status can often be detected by a change of vital signs or fetal heart tones. Timing of ROM and characteristics of fluid also should be assessed.
e. Educate client about the status of the fetal heart tones.Since the mother is anxious, reassurance can be given by explaining what the nurse assessed about her baby.

Answer 1

The baby's hearing begins to develop around 18 weeks gestation, allowing them to detect sound vibrations. By the second trimester, the baby can start to respond to external sounds. The development of hearing continues after birth.

Step-by-step explanation:

When discussing with Anna when her baby's hearing will develop, you can inform her that the baby's hearing begins to develop around 18 weeks gestation. At this stage, the structures of the inner ear start to form, allowing the baby to detect sound vibrations. By the second trimester, the baby can start to respond to external sounds, such as the mother's voice or music played for them. It's important to note that the baby's hearing will continue to develop and refine after birth as well.