The nurse is assessing a newborn and notes an enlarged head with prominent scalp veins visible. Based on this data, which diagnosis does the nurse suspect?
1. Craniosynostosis.
2. Hydrocephalus.
3. Acromegaly.
4. Fetal alcohol syndrome.
Correct Answer: 2
Hydrocephalus is enlargement of the head caused by inadequate drainage of cerebrospinal fluid. Craniosynostosis is early closure of the sutures, which causes head elongation. Acromegaly is enlargement of the skull and cranial bones due to increased growth hormone, which would not be the cause in an infant. Acromegaly is usually found in adult clients. Fetal alcohol syndrome causes specific types of facial deformities such as a small head circumference, small widely spaced eyes, and a flat mid-facial area.
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The manager tells a potential nurse hire that the organization is a "closed shop" organization. The nurse asks for clarification. Which response by the manager is most accurate?
1. "A ‘closed shop' is an organization in which union representation and collective bargaining practices are not discussed." 2. "It is a term used to describe the collective bargaining practices in this state." 3. "It means you are required to join the union if you accept this position." 4. "You are required to sign a statement stating you received information regarding union membership."
The nurse displays the essence of critical thinking by doing what?
1. Having all the answers 2. Accepting what is read as true 3. Asking questions 4. Sharpening intuition
A client develops vomiting and diarrhea after eating at a local restaurant. Which intervention should the nurse include in this client's plan of care?
a. Teach the importance of avoiding seafood b. Teach the importance of eating fresh fruits and vegetables c. Teach the importance of washing hands after coughing or sneezing d. Teach the importance of refrigerating leftover items within two hours after a meal is served
The multiparous patient at term has arrived to the labor and delivery unit in active labor with intact membranes. Leopold's maneuvers indicate the fetus is in a transverse lie with a shoulder presentation
Which physician order is most important? 1. Artificially rupture membranes. 2. Apply internal fetal scalp electrode. 3. Monitor maternal blood pressure every 15 minutes. 4. Alert surgical team of urgent cesarean.