While assessing the fundus of a multiparous client on the first postpartum day, the nurse performs hand washing and dons clean gloves. Which of the following should the nurse do next?
a. place the non-dominant hand above the symphysis pubis and the dominant hand at the umbilicus
b. ask the client to assume a side-lying position with the knees flexed
c. perform massage vigorously at the level of the umbilicus if the fundus feels boggy
d. place the client on a bedpan in case the uterine palpation stimulates the client to void
Answer: d. place the client on a bedpan in case the uterine palpation stimulates the client to void
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The nurse is assessing a newborn when the mother asks about the tiny white "bumps" on the forehead and nose. The nurse would respond to the mother with which of the following statements?
1. "Those are milia and they are very common.". 2. "That is lanugo and it is very common.". 3. "Those are Mongolian spots.". 4. "Those are salmon patches.".
Which of the following falls under the Department of Agriculture?
a. Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) b. National Oceanic and Atmospheric Administration c. Occupational Safety and Health Administration (OSHA) d. Supplemental Food Program for Women, Infants, and Children (WIC)
An 80-year-old patient fell and fractured her hip and is now in the hospital. Before the fall, she lived at home with her husband and managed their activities of daily living very well
The goal is for the patient to recover from the injury and return to her home. The hospital is ready to discharge her because she has exceeded the recommended length of stay in a hospital. However, she cannot walk or care for herself yet, and she will require lengthy physical therapy and further monitoring of her medications and her physical and mental status. To which type of facility should she be transferred? a. Nursing home b. Rehabilitation center c. An outpatient therapy center d. None of these; she should receive home healthcare
The nurse is assessing an infant brought to the clinic because of diarrhea. The infant is alert but has dry mucous membranes. Which additional assessment data indicates to the nurse that the infant is experiencing an early to moderate stage of dehydration?
1. Bradycardia 2. Tachycardia 3. Increased blood pressure 4. Normal fontanels