A nurse is assessing an 18-month-old toddler. The nurse distinguishes normal from abnormal findings by remembering Gesell's theory of development. Which information will the nurse consider?
a. Growth in humans is determined solely by heredity.
b. Environmental influence does not influence development.
c. The cephalocaudal pattern describes the sequence in which growth is fastest at the top.
d. Gene activity influences development but does not affect the sequence of development.
ANS: C
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The nurse has learned that which hormone is primarily responsible for maintaining a pregnancy?
A. Estrogen B. Human chorionic gonadotropin C. Oxytocin D. Progesterone
What must be stressed to all participants attending a health fair?
a. A screening program is not a substitute for ongoing health supervision from a health care provider. b. All test results are only tentative, and so participants who receive negative test results may nonetheless be suffering from a disease. c. Results are true today, but disease can develop any time, so participants should attend any future health fairs as well. d. There are many other diseases that may be attacking participants that the health fair did not screen for, and so continued vigilance is necessary.
To reduce pressure points that may lead to pressure ulcers, the nurse should:
1. Position the client directly on the trochanter when side-lying 2. Use a donut device for the client when sitting up 3. Elevate the head of the bed as little as possible 4. Massage over the bony prominences
The nurse is caring for a client who is diagnosed with a superinfection. What signs and symptoms does the nurse expect upon assessment of the client? (Select all that apply.)
1. Diarrhea 2. Epistaxis 3. Headache 4. Bladder pain 5. Vaginal discharge