You get L.M. settled on the unit and promptly perform her admission assessment. A nursing student is assisting you with L.'s admission. Assessment of growth and development is an important part of patient assessment. Which of the nursing student's statements is correct?
a. "We will assess her anterior fontanel because it should be closed."
b. "We should not see any head lag."
c. " I do not need to do a frontal occipital circumference (FOC) measurement because her sutures have fused.
d. " L. should be able to focus on objects that are near."
d
Infants begin development of binocularity at 6 weeks, and it is established by 4 months of age.
They should be able to focus on near objects by 3 months. The anterior fontanel closes by 12 to
18 months. Head lag should disappear by 4 months. FOC measurement should be part of admission
data and is particularly important with hydrocephalus. 5 . The doctors order a CT scan and lumbar puncture with a cell count, culture, Gram stain, glucose, and protein run on the CSF. What is the rationale for each procedure?
• The CT scan will show an increase in CSF accumulation.
• The lumbar puncture and CSF laboratory results will show whether the patient has a shunt
infection and differentiate a bacterial versus a viral cause.
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Vaginal fistulas are caused by an ulcerating process resulting from (select all that apply):
a. Cancer b. Radiation c. Poor hygiene d. Multiple sexual partners e. Weakening of tissue from pregnancies f. Surgical interventions
The emotional developmental task of industry vs. inferiority that occurs in childhood is characteristic of which age group?
a. Infancy: birth to 1 year old b. Early childhood: 1 to 3 years old c. Preschool age: 3 to 6 years old d. School age: 6 to 12 years old
The nurse is correct to state that a client's body needs to have adequate nutrition to maintain energy. Which type of transport of dissolved substances requires adenosine triphosphate (ATP)?
A) Osmosis B) Passive diffusion C) Facilitated diffusion D) Active transport
One method that maternity nurses can take to dispel the health disparities among women is through:
1. increasing education provided for mothers. 2. late prenatal care. 3. increasing the number of cesarean sections. 4. making all women take more vitamins.