Which of the following is true regarding a cephalohematoma?
a. It is bound by suture lines.
b. The affected part feels soft.
c. It is obvious at birth.
d. The margins are poorly defined.
A
The condition is subperiosteal, under the bone, and contained by the margins of the suture lines; it does not cross the suture line. It is often unnoticed at birth and typically feels firm, with its edges well defined.
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When providing personal care to a child, a nurse should do which of the following? Select all that apply
1. Respect the child's need for privacy. 2. Knock before entering the child's room. 3. Enter the child's room without knocking. 4. Consider the importance of modesty to the child. 5. Leave the room door open while the child is bathing.
The bottom sheet is placed on the bed correctly if:
a. The hem-stitching is down b. The hem-stitching is up c. The top edge is even with the top of the mattress d. It completely covers the plastic drawsheet
A client who has been receiving heparin therapy also is started on warfarin. The client asks a nurse why both medications are being administered. In formulating a response, the nurse incorporates the understanding that warfarin:
a. Stimulates the breakdown of specific clotting factors by the liver, and it takes 2-3 days for this to exert an anticoagulant effect. b. Inhibits synthesis of specific clotting factors in the liver, and it takes 3-4 days for this medication to exert an anticoagulant effect. c. Stimulates production of the body's own thrombolytic substances, but it takes 2-4 days for this to begin. d. Has the same mechanism of action as Heparin, and the crossover time is needed for the serum level of warfarin to be therapeutic.
Glucose can usually be found in all normal urine.
a. true b. false