Which technique is used to palpate the fundal height on a postpartum client? - ANSWER place hand at the base of the uterus, one on the fundus
Which assessment finding indicates to the nurse that a newborn has hip subluxation? - ANSWER Inability of the right hip to abduct
The nurse is providing discharge teaching to the post-partum client regarding mood changes to report. In differentiating between post partum depression and baby blues what should be included in the instructions? - ANSWER Baby blues may present in
the first few days after birth and resolve prior to the second postpartum week.
Hypoglycemia in a mature infant is defined as a blood glucose level below which amount? - ANSWER 40-100
The nurse assesses a postpartum client's discharge as being moderate in amount and red in color. How should the nurse document the appearance - ANSWER Lochia rubra
By the time children reach their tenth birthday, they should have learned to trust others and should have developed a sense of what? - ANSWER industry
The parents of a newborn are concerned that something is wrong with their newborns eyesight. What should the nurse instruct the parents as being - ANSWER
follows a light to the midline
A nurse is caring for a four year old female. Which of the following is expected of a preschool-aged child? - ANSWER relaxing fears to magical thinking
In providing care to the postpartum client the nurse recognizes that women are hypercoagulable during the 3rd trimester of pregnancy and that assessment of this client should include evaluation for the development of venous thromoembolism. Which of the following should be included in this evaluation? - ANSWER - observe the lower extremities
- Observation of respiratory rate and effort
The nurse has instructed on the importance of providing a toddler with a balanced diet. Which observation during a home visit indicates that instruction has been effective? - ANSWER The mother prepares a scrambled egg for the toddler's breakfast.