Which combination of expressing pain could be demonstrated in a neonate?
a. Low-pitched crying, tachycardia, eyelids open wide
b. Cry face, flaccid limbs, closed mouth
c. High-pitched, shrill cry, withdrawal, change in heart rate
d. Cry face, eye squeeze, increase in blood pressure
D
Feedback
A Cry and an increased heart rate are manifestations of neonatal pain. Typically,
infants will close their eyes tightly when in pain, not open them wide.
B Infants may cry in response to pain. Additionally, they may display a rigid
posture with the mouth open.
C A high-pitched, shrill cry is associated with genetic/neurologic anomalies. The
infant may cry, withdraw limbs, and become tachycardic with pain.
D These manifestations are indicative of pain in the neonate.
You might also like to view...
A nurse frequently needs to change the soiled linen and body position of a client who is confined to bed and has a decreased level of consciousness. Which of the following general principles should the nurse follow?
A) Fasten drainage tubes to the bed linen. B) Tuck in pillows and positioning devices. C) Raise the bed to the height of the nurse's elbow. D) Change the client's position every half hour.
A 71-year-old woman who has been experiencing several weeks of lower back pain and pelvic heaviness has been diagnosed with a cystocele. Which of the following teaching points about the woman's bladder herniation is most accurate?
A) "Incontinence of urine is a common consequence of this problem.". B) "This problem is unlikely to worsen with time.". C) "An infection was likely a cause of your cystocele.". D) "Fortunately, this probably won't cause pain with intercourse.".
A client will be having a total colectomy in 4 days. The client does not have an obstruction. What does the nurse anticipate instructing the client about doing prior to the surgery to prepare the bowel?
A) Instructing the client about dietary restrictions and lavage agents B) Making sure the client drinks 2 L of fluid prior to the procedure C) Instructing the client to have no food except clear liquids for 4 days D) There will be no special preparation, and the client may eat until midnight the night prior to surgery.
A woman's waist circumference is 32 inches and her hip circumference is 29 inches. Her waist-to-hip ratio is _____
Fill in the blank with correct word.