The nurse is inspecting the cervix of a client who has two children. The nurse would expect the cervical os to appear as which of the following?
A) Round
B) Slit-like
C) Transverse
D) Stellate
B
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The mother asks the nurse why her newborn baby needs a blood test for phenylketonuria (PKU) before she could take her home. The nurse explains to the mother:
1. "It is because you have a family history of this disease." 2. "This test is done on in the U.S. on all babies who are 48 hours old." 3. "Your baby was overdue (42 weeks' gestation), and so has a greater chance of developing PKU." 4. "This is done because you have chosen to feed your baby formula, so she is not protected against PKU."
A trauma patient has just been sedated, intubated, and placed on mechanical ventilation. The nurse documents the patient's pain level as 9 on the 1-10 scale. How should this action be interpreted?
1. The patient should receive the highest dose of analgesic medication ordered. 2. The nurse has inappropriately scaled the patient's pain. 3. The nurse should wait until the patient has adapted to the mechanical ventilator before scaling the level of pain. 4. Pain will decrease now that the patient does not have to work to breathe.
The nurse is performing a physical examination for an 11-year-old girl. Which of the following observations would be expected?
A) The child has gained 1.5 pounds since last year. B) The child has grown 3 inches since last year. C) The child breathes abdominally. D) The child's third molars are about to erupt.
The home health nurse is doing a follow-up visit to a 41-year-old patient with recently diagnosed rheumatoid arthritis (RA). Which assessment made by the nurse indicates that more patient teaching is needed?
a. The patient takes a 2-hour nap each day. b. The patient has been taking 16 aspirins daily. c. The patient sits on a stool while preparing meals. d. The patient sleeps with two pillows under the head.