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A nurse at a well baby clinic is collecting data about a 9mon old infant. The nurse
understands which of the following occurs at this stage of development
A. Scribble with crayons
B. fears strangers
C. used of 1-3 word sentences
D. Walking with on handheld - ANSWERS-B. fears strangers
Postpartum mom (G1P1) asks the nurse immediately after delivery if she should
request rooming in with her infant. Which of the following response by the nurse would
be correct?
A. Rooming in allows increased maternal new born contact
B. This puts to much responsibility on a first time mother
C. Resting for the first 3 days postpartum will be better for you
D. It depends on whether you will breastfeed or not - ANSWERS-A. Rooming in allows
increased maternal new born contact
The nurse provides discharge instructions to a postpartum client. Which client statement
indicates that teaching has been effective
, A. I can begin intercourse when i get home
B. I should notify the physician if my discharge decreases in amount
C. I should limit climbing stairs to 4x a day
D. I can return to my full time job after 6 weeks - ANSWERS-C. I should limit climbing
stairs to 4x a day
A nurse is assessing a newborn infant for congenital hip dysplasia. Which signs or
symptoms should be brought to the attention of the health care provider for further
evaluation? SATA
A. An infant who has one leg that appears longer than the other
B. An infant who has a click in the hip joint when one hip is maneuvered
C. An infant who has extra skin folds on the inner thigh of one leg
D. An infant who is actively moving all extremities
E. An infant whose bilateral leg length is symmetric - ANSWERS-A. An infant who has
one leg that appears longer than the other
B. An infant who has a click in the hip joint when one hip is maneuvered
C. An infant who has extra skin folds on the inner thigh of one leg
A newborn with esophageal atresia has just returned from surgery to place a
gastrostomy tube. Which nursing diagnosis will the nurse use to plan the care for this
client?
A. Risk for imbalanced nutrition
B. Risk for deficient fluid volume
C.Risk for ineffective gas exchange
D. Risk for impaired thermoregulation - ANSWERS-A. Risk for imbalanced nutrition
Nurse is caring for a postpartum woman 18 hrs after primary c-section for preeclampsia.
The client is noted to have a boggy uterus and a moderate to late amount of vaginal
bleeding. The nurse notifies the physician of these findings and expect an order for
which of the following medications?
A. Terbutaline
B. Hydrocodone/ acetaminophen