A postpartum client calls the clinic to report that her 3-day-old baby girl has a spot of blood on her diaper. The nurse explains to the client that this is due to:
1. Withdrawal of maternal hormones.
2. A urinary infection.
3. An immature immune system.
4. Physiologic jaundice.
1
Rationale:
1. As maternal hormones clear the newborn, it is not unusual to find blood on the diapers of a female newborn. This is referred to as pseudomenstruation.
2. As maternal hormones clear the newborn, it is not unusual to find blood on the diapers of a female newborn. This is referred to as pseudomenstruation. A urinary infection does not cause pseudomenstruation.
3. As maternal hormones clear the newborn, it is not unusual to find blood on the diapers of a female newborn. This is referred to as pseudomenstruation. An immature immune system does not cause pseudomenstruation.
4. As maternal hormones clear the newborn, it is not unusual to find blood on the diapers of a female newborn. This is referred to as pseudomenstruation. Physiologic jaundice is due to an accelerated destruction of fetal RBCs, impaired conjugation of bilirubin, and an increase in bilirubin reabsorption from the intestinal tract.
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Nocturia means:
a. Painful or difficult urination b. Frequent urination at night c. The production of abnormally large amounts of urine d. Voiding or micturition
The nurse is preparing to give the child an intramuscular injection. The nurse's best approach would be to:
a. smile and laugh about the injection b. say, "I am going to give you a little stick." c. say, "Good little children don't cry." d. say, "I am going to give you an injection that may hurt a little."
The nurse is caring for a child after heart surgery. What should she or he do if evidence is found of cardiac tamponade?
a. Increase analgesia. b. Apply warming blankets. c. Immediately report this to the physician. d. Encourage the child to cough, turn, and breathe deeply.
The nurse makes a list of the health evaluations that should be conducted during an annual physical examination for the older adult, which includes ____________________. (Select all that apply.)
a. measurement of height and weight. b. lipid study. c. electrocardiography. d. rectal examination. e. mammography.