The nurse in the newborn nursery is admitting a neonate. To determine the health and development of the newborn, what will the nurse include in the assessment?
1. Head circumference
2. Body length
3. Weight
4. Length of pregnancy
5. Hearing screens
Correct Answer: 1,2,3,4
Rationale: The nurse should assess almost all of these parameters to determine the health of the newborn. However, hearing screens are typically done after the first 12 hours after birth and are not part of newborn assessment.
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The nurse is caring for a patient who needs to collect a 24-hour urine specimen at home. Which steps of specimen collection may be delegated to the assistant? (Select all that apply.)
a. Label the urine container and lab slips with the patient's name and information. b. Assess the patient's ability to collect the specimen as required. c. Explain the procedure to the patient. d. Obtain the urine container from the utility room or laboratory. e. Transport the specimen to the laboratory once it is collected. f. Ensure that the correct test is ordered and collected.
The nurse accidentally administers the wrong dose of a medication. Her first action would be to:
a. notify the physician. b. fill out an incident report. c. assess the patient. d. tell her supervisor.
A nurse is teaching a client diagnosed with gonorrhea how to prevent reinfection and further spread. Which of the following describes the action taken by the nurse?
a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Primary health care
The nurse recognizes that cold stress in the newborn can lead to:
a. Acrocyanosis b. Hyperglycemia c. Acidosis d. Atelectasis