During the complete physical examination, 24 hours after birth:
1. the parents are excused to reduce their normal anxiety.
2. the nurse can gauge the neonate's maturity level by assessing its general appear-ance.
3. once often neglected, blood pressure is now routinely checked.
4. when listening to the heart, the S1 and S2 sounds can be heard; the first sound, somewhat higher in pitch and sharper than the second.
2
1. Incorrect. The parents' presence actively involves them in child care and gives the nurse a chance to observe interactions.
2. Correct. The nurse will be looking at skin color, alertness, cry, head size, and other fea-tures.
3. Incorrect. Blood pressure is not usually taken unless cardiac problems are suspected.
4. Incorrect. The second sound is higher and sharper than the first.
You might also like to view...
A nurse is required to insert a midline catheter for a client. How many inches of the catheter should the nurse insert into the required site and for how long can it be used?
A) 1 to 3 inches; it can be used for up to 3 weeks B) 3 to 6 inches; it can be used for up to 4 weeks C) 7 to 8 inches; it can be used for up to 5 weeks D) 8 to 9 inches; it can be used for up to 6 weeks
A 35-year-old woman is diagnosed with a peripheral neuropathy. When making her plan of care, the nurse knows to include what in patient teaching? (Mark all that apply.)
A) Inspect the lower extremities for skin breakdown B) Footwear needs to be accurately sized C) This disease has a genetic component D) Assistive devices may be needed to reduce the risk of falls E) Ask others for assistance
Which statement would the nurse evaluate as indicating the patient needs further education about mastitis and breastfeeding?
1. "If I wear a plastic-backed breast pad, I can continue to breastfeed.". 2. "If I develop discharge from the mastitis, I should avoid feeding the baby on that side.". 3. "My breast milk will help protect the baby from infection from my mastitis.". 4. "If the baby is not emptying my breast, I should use a breast pump after feeding.".
The nurse is reviewing new medication orders for several patients in a long-term care facility. Which patient does the nurse recognize as being at the highest risk for having cognitive impairment related to prescribed medications?
a. The patient prescribed an antibiotic for a urinary tract infection. b. The patient prescribed a cholinesterase inhibitor for early Alzheimer's disease. c. The patient prescribed a beta-blocker for hypertension. d. The patient prescribed a bisphosphonate for osteoporosis.