The nurse is preparing a presentation to a local community group about genetic disorders and the types of congenital anomalies that can occur. Which of the following would the nurse include as a major congenital anomaly?
A) Overlapping digits
B) Polydactyly
C) Umbilical hernia
D) Cleft palate
D
Response:
Cleft palate is considered a major congenital anomaly, one that creates a significant medical problem or requires surgical or medical management. Overlapping digits, polydactyly, and umbilical hernia are considered minor congenital anomalies because they do not cause an increase in morbidity in and of themselves.
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The Institute of Medicine (IOM) identified essential competencies that are necessary to move health care into the 21st century. The competencies consist of:
A. Employing the use of evidence-based practice (EBP). B. Providing client-centered care. C. Utilizing informatics. D. All of the above.
A nurse comes to the unit manager to report a coworker's behavioral changes
The nurse has noticed that the coworker's handwriting has become shaky and illegible, that the coworker has mood swings, and that the coworker has had increased tardiness. Which should be the manager's first action? 1. Meet with the coworker in private and discuss the behaviors. 2. Meet with other staff to determine if the coworker has issues at home. 3. Meet with human resources (HR) to determine the best method to terminate the employee. 4. Collect additional information regarding behaviors, absenteeism, and/or tardiness.
A client pregnant with her first child is concerned that she has not felt the baby move yet. She is 16 weeks pregnant. The nurse should
a. reassure her that this is normal b. notify the client's health care provider c. place her on a fetal monitor d. listen for fetal heart tones
The nurse needs to reposition a 300-lb patient. Which of the following strategies is most likely to prevent back injury?
a. Turn the patient alone using the lift pad and applying pillows. b. Put the bed in Trendelenburg and pull from the head of the bed. c. Assess and obtain the number of people needed to help. d. Bend at the waist and pull the lift pad using the arms.