The perinatal nurse notes that a newborn does not seem to have an opening inside the anal ring. Which action by the nurse takes priority?
A.
Ask the mother how well the infant is eating.
B.
Assess the abdomen and notify the physician.
C.
Facilitate laboratory studies for kidney function.
D.
Reassure the parents that this is a normal deviation.
ANS: B
This infant may have an imperforate anus, a condition that is an emergency, as the infant cannot pass stool. The nurse should quickly assess the baby's abdomen for distention and firmness and notify the physician or health-care provider. The other actions are not warranted.
You might also like to view...
The nurse identifies characteristics of buffer regulation as including:(Select all that apply) Standard Text: Select all that apply
1. The body's buffering system is more acid than base 2. Buffers neutralize excess acids or bases 3. Buffers are the last defense against acid-base balance changes in the body 4. The main buffer pair is sodium bicarbonate and carbonic acid 5. The pH remains within its normal range as long as a ration of 20 parts of bicarbonate to 1 part of carbonic acid
Which organ (the largest in the body) plays a major role in the regulation of body temperature?
What will be an ideal response?
Anticipatory guidance is an effective means of preventing injury. Some outdoor safety education for the caregiver should include which of the following?
1. Never leave children unattended near pools, ponds, lakes, or any body of water, even if they can swim. 2. When playing on the playground, children should be taught not to run in roped areas and not to jump on trampolines. 3. Children should wear a helmet when riding a bicycle or skating and should not ride a bike or skate in the street. 4. All of the above
Which education should the nurse include in the teaching for a client prescribed a NuvaRing? Select all that apply.
A. "This ring should be inserted into your uterus." B. "Once inserted, this ring will provide contraception for 6 months." C. "You should expect to replace the ring every 3 weeks." D. "Contraceptive protection is provided for 3 weeks." E. "The ring uses estrogen and progestin to provide contraception."