A mother who had no prenatal care delivers in the emergency department. She did not know her due date. The infant looks rather thin and has long nails, abundant hair, little vernix caseosa, and dry skin
The nurse would estimate the infant's gestational age as _____ weeks.
a. Less than 34
b. Approximately 36
c. Approximately 40
d. More than 42
ANS: D
The characteristics described are typical of a postterm (postmature) infant, that is, one born past 42 weeks' gestation.
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A male patient with severe chronic obstructive pulmonary disease (COPD) was brought to the hospital by emergency personnel
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The nurse is caring for a patient who is complaining of postoperative gas pain. What intervention can the nurse implement to aid the patient in passing flatus?
a. Assist the patient to ambulate. b. Place a cold compress on the abdomen. c. Offer a cup of coffee or tea. d. Offer chilled vegetable juice.
The patient asks the nurse, "I am having a debridement of my leg tomorrow. What does this mean?" What is the most appropriate response by the nurse?
a. You will be evaluated to see how the wound will respond to medications. b. You will be fitted for a dressing to wear permanently on your wound. c. You will need to ask the doctor what that means, I'm not really sure. d. You will have the dead, or necrotic, tissue removed from your leg. This procedure will help the wound heal.
The home care nurse is examining a 3-day-old infant. The child's skin on the sternum is yellow when blanched with a finger. The parents ask the nurse why jaundice occurs. What is the best response from the nurse?
1. "The liver of an infant is not fully mature, and doesn't conjugate the bilirubin for excretion." 2. "The infant received too many red blood cells after delivery because the cord was not clamped immediately." 3. "The yellow color of your baby's skin indicates that you are breastfeeding too often." 4. "This is an abnormal finding related to your baby's bowels not excreting bilirubin as they should."