An infant was born after a face presentation. When selecting a nursing diagnosis for the newborn, which body system does the nurse identify as a priority?
A) Respiratory
B) Genitourinary
C) Cardiovascular
D) Gastrointestinal
A
Feedback:
Babies born after a face presentation have a great deal of facial edema and may be purple from bruising. The infant must be observed closely for a patent airway, which is the priority. A face presentation does not affect the cardiovascular or genitourinary systems. If lip edema is severe, the newborn might need gavage feedings until the edema subsides and sucking can occur.
You might also like to view...
Order: Romazicon 0.3 mg IVP Available:
a. 0.33 mL b. 3 mL c. 4 mL d. 2 mL
The nurse is concerned that an abdominal assessment completed by a nursing student includes inaccurate information. The student inspected, palpated, and then auscultated the patient's abdomen during the assessment
What should the nurse explain as the reason for the student's inaccurate information? 1. palpated prior to auscultating 2. inspected prior to palpating 3. inspected prior to auscultating 4. auscultated after inspecting
Which part of the assessment provides the most subjective data?
1) Health history 2) Physical assessment 3) Review of medical records 4) Medication record
Which of the following actions by the nurse best exemplifies atraumatic care?
a. using a eutectic mixture of local anesthetics (EMLA) cream 1 hour before blood draws or the use of any needle b. requesting assignment to a general medical unit rather than the intensive care unit c. handwashing when entering the room and before leaving the room d. reverse isolation for the child who is immunologically compromised