The nurse assesses the neonate for neural tube defects because the parents originate from:
1. Puerto Rico.
2. Iceland.
3. Hawaii.
4. Greece.
1
Rationale: Children of parents of Puerto Rican descent are at increased risk for neural tube defects, including spina bifida, anencephaly, and congenital hydrocephalus.
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A client is diagnosed with trisomy mosaicism. How does the nurse interpret this diagnosis?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Some of the client's cells have 46 chromosomes. 2. Some of the client's cells have 47 chromosomes. 3. All the client's cells have 48 chromosomes. 4. The client's somatic cells have 23 chromosomes. 5. The client's sex cells have 25 chromosomes.
An 18-month-old child develops an urticarial reaction after a transfusion. The prescriber orders intravenous promethazine [Phenergan]. What will the nurse do?
a. Give the medication as ordered. b. Monitor the child for bronchoconstriction. c. Question the order. d. Request an order to give the drug orally.
The nurse has admitted a child with a ventricular septal defect to the unit. Which of the following is an appropriate nursing diagnosis for this child?
1. Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow 2. Fluid volume, deficient related to hyperthermia secondary to the congenital heart defect 3. Acute pain related to the effects of a congenital heart defect 4. Hypothermia related to decreased metabolic state
A nurse is explaining to a nursing student how clomiphene (Clomid) works to improve fertility. Which statement by the student indicates a need for further teaching?
a. "Clomiphene blocks estrogen receptors to cause increased secretion of gonadotropins." b. "Clomiphene directly stimulates the ovary, causing follicular maturation and ovulation." c. "If follicular maturation is the only result of clomiphene therapy, human chorionic gonadotropin may be given." d. "If the pituitary gland cannot produce LH and FSH, clomiphene will not be effective."