The nurse responds to a mother who is crying and saying, "There's something wrong with my baby. There's blood in the diaper." The nurse looks at the diaper and sees a small drop of blood in the diaper, and notes some on the infant's vagina
The nurse's best response is: 1. "I will take the baby to the nursery and call the pediatrician."
2. "This is a normal occurrence called pseudomenstruation caused by the loss of maternal hormones."
3. "Did you scratch the baby when you changed her diaper?"
4. "I will need to take the baby to the nursery and notify Social Services."
2
Rationale: Pseudomenstruation is a normal occurrence that results from the withdrawal of the mother's hormones, and can be a onetime occurrence or could last for a few days.
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An older adult patient's testing reveals decreased absorption of calcium, which is a common age-related change. The nurse would consider which nursing problem when creating a care plan for this patient?
1. Swallowing may be impaired. 2. There is a higher risk of constipation. 3. The patient is more likely to be incontinent. 4. Activity intolerance is common.
A client experiencing preterm labor at the twenty-ninth week of gestation has been admitted to the hospital. The client has a prescription to receive betamethasone (Celestone)
The nurse understands that the medication will do which of the following? 1. Prevent spontaneous delivery. 2. Stop the uterine contractions. 3. Promote maturation of the fetal lungs. 4. Accelerate the growth rate of the fetus.
MC A once prosperous and thriving neighborhood has become run-down and its residents have a lower socioeconomic status. There is greater unemployment in this neighborhood and the police have seen a rise in crime in unemployed young adults
This is an effect of a declining: A. Social environment. B. Natural environment. C. Built environment. D. Ecological environment.
After the infant is diagnosed with a chronic health condition, the family is assigned a nurse case manager. Which will the nurse include in the explanation to the infant's parents regarding this role?
1. Limiting the number of visits to the healthcare facility 2. Preventing duplication of services 3. Improving the quality of life for the child and parents 4. Recognizing the equipment needs of the child and providing assistance with equipment acquisition 5. Visiting the child in the home to assist with physical care