An infant is born with a myelomeningocele. An important nursing assessment you would make with her would be to see if she
A) has a normal tonic-neck reflex.
B) voids continually or at spaced intervals.
C) is able to lie on her back without pain.
D) can follow a moving light across the midline of vision.
B
You might also like to view...
The nurse is preparing teaching instructions for a client recovering from a cervical biopsy. What should the nurse include in this teaching? (Select all that apply.)
1. Avoid tampons for 1 week. 2. Feelings of fatigue are expected. 3. Expect a foul discharge for a few days. 4. Notify the physician of heavy bleeding. 5. Avoid sexual intercourse until discharge stops.
Which of the following strategies used by the nurse in teaching older adults is a principle of adult learning?
a. Adults need a motivation to learn. b. Adults are independent learners. c. Adults learn best through lecture. d. a and b
A gravida 7, para 6 woman is in the hospital only 15 minutes when she begins to deliver precipitously. The fetal head begins to deliver as you walk into the labor room. Your best action would be to
A) place a hand gently on the fetal head to guide delivery. B) ask her to push with the next contraction so delivery is rapid. C) assess blood pressure and pulse to detect placental bleeding. D) attach a fetal monitor to determine fetal status.
A nurse is preparing a rehabilitation plan for a client with hemiplegia, which includes a record for the activities of daily living (ADLs)
Which of the following activities of the client can be classified as an instrumental activity of daily living? A) Ability to self-feed B) Ability to administer medications C) Ability to eliminate waste D) Ability to bathe and dress