Which technique will the nurse use when eliciting the Moro reflex during a newborn assessment?
1) Rotate the newborn's head to one side so that the chin is over the shoulder.
2) Place object or finger in the palm of the newborn's hand.
3) Stroke lateral surface of the sole of the newborn's foot.
4) Jar bassinette or let the newborn's head drop back.
ANS: 4
You might also like to view...
Order: Infuse esmolol at 50 mcg/kg/min Patient's weight: 132 lb The client is receiving a dosage of _______________
a. 66 mg/min b. 30 mg/hr c. 3 mg/min d. 3 mg/hr
Which interventions should the nurse implement for a child in skeletal traction to prevent complications of immobility? Select all that apply
a. Reposition the child every 2 hours. b. Avoid use of an egg-crate or sheepskin mattress. c. Limit fluid intake. d. Administer stool softeners as prescribed. e. Encourage coughing and deep breathing.
A nurse stressed to an oncology patient the importance of returning to the outpatient clinic promptly at 8 AM for the next treatment, but the client arrived at 3 PM. Which of the following would be the most likely explanation for the client's tardiness?
a. The client needed the appointment written down so the client could remember the exact time. b. The client's employment had to come first, so the clinic visit was second in priority. c. The client's perception of time was not linear or future oriented. d. The client was having too much discomfort from the treatment to have another treatment so soon.
A patient has a glomerular filtration rate of 55%. What should this value indicate to the nurse?
a. This is a normal value. b. The patient is in renal failure. c. The patient needs to be on a fluid restriction. d. The patient's other tests will be in the normal range.