The nurse is assessing a newborn. The parents are present. Which statement by the nurse is most important?

1. "Your infant was born with several reflexes. Some help her eat and protect her. I will show you what they look like."
2. "You will be most successful if you put your baby to breast when her eyes are wide open and she is looking around."
3. "The muscle tone of your baby will increase as she gets older. You'll notice her head lagging less in a few weeks."
4. "The umbilical cord stump will dry up and fall off in about 2 weeks. There might be a spot of blood when it falls off."


2
Rationale 1: Although this is true, parents' knowledge of reflexes is not critical to the survival of the infant.
Rationale 2: This statement is most important because it is about the physical need of feeding. Infants feed best when they are in the active alert phase, characterized by quiet, eyes open, and looking calmly around.
Rationale 3: Although this statement is true, parents' knowledge of neuromuscular development is not critical to the survival of the infant.
Rationale 4: Although this is true, parents' understanding about the cord falling off is not critical to the survival of the infant.

Nursing

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Addiction to recreational drugs, such as crack, cocaine, and heroin, combined with use of psychotherapeutic drugs is associated with:

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A nurse recommends to a school board that other methods besides the "just say no" approach be considered when providing drug use prevention education to the elementary students. Which of the following best describes the rationale for this recommendation?

a. Children do not like to hear the word "no," and the approach is too negative. b. Project DARE is more effective and has decreased drug use. c. Children are naturally curious and may experiment with drugs. d. "Just say no" to drugs does not include smoking and alcohol abuse.

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The nurse is assisting a client with paraplegia into a special "neuro chair." What are the advantages/disadvantages of using these devices?

A) They help to alleviate pain. B) They adjust to various positions. C) They provide exercise for the client. D) They are difficult to move from place to place.

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Which of the following is not a setting where one would practice external case management?

1. Home health agency 2. Long-term care setting 3. Managed care organization 4. Pediatric oncology unit

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