The nurse is evaluating the neonate for gestational age. Which finding indicates to the nurse that the baby is post-term?
A) A scarf sign shows resistance and the elbow is unable to reach midline
B) Breast buds are 4.5 mm and have a raised areola
C) Flexed positions show good muscle tone
D) Ear cartilage is thick and the pinna is stiff
Ans: D
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Documentation is necessary for the evaluation of patient care and is an integral part of the nursing process phase of:
a. assessment. b. planning. c. implementation. d. evaluation.
A nurse is caring for a 50-year-old client suspected to have an exophthalmia and goiter. For which of the following symptoms should the nurse monitor in this client?
A) Lethargy and inactivity B) Slow pulse rate C) Shrinking of the eyes D) Weight loss
A hospital administrator would be most concerned with:
a. the increase in the number of elderly admissions b. the increasing growth of outpatient services c. the increase in patient's length of stay d. the increase in diabetic admissions
The nurse is assessing a new patient who has recently immigrated to the United States. Which question is appropriate to add to the health history?
a. "Why did you come to the United States?" b. "When did you come to the United States and from what country?" c. "What made you leave your native country?" d. "Are you planning to return to your home?"