To reassure and educate patients concerning changes in the breasts, nurses should be aware that:
1. the visibility of blood vessels forming an intertwining blue network indicates full function and possible infection of Montgomery's tubercles.
2. development of the mammary glands doesn't occur until 2 weeks before labor.
3. lactation is inhibited until a decrease in estrogen level occurs after birth.
4. colostrum is the yellowish oily substance used to lubricate the nipples for breast-feeding.
3
1. Incorrect. The visible blue network of blood vessels is a normal outgrowth of a richer blood supply.
2. Incorrect. The mammary glands are functionally complete by midpregnancy.
3. Correct. Lactation is inhibited until after birth.
4. Incorrect. Colostrum is a creamy, white-to-yellow premilk fluid that may be expressed from the nipples before birth.
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A normal assessment of the neck would include palpation of the thyroid isthmus. Where would the nurse find the isthmus?
A) Just above the thyroid cartilage B) Between the thyroid and the cricoid cartilages C) Just below the cricoid cartilage D) In front of the sternocleidomastoid muscle
The nurse determines the client requires fecal impaction removal. Which assessment finding justifies the nurse's decision?
1. Client exhibits rebound tenderness. 2. Client is unable to expel hard stool. 3. Client has history of fecal impaction. 4. Client denies bowel movement today.
Why has there been an increasing emphasis on caring for chronically ill children in their homes rather than in the hospital?
A. Hospitalized children are at risk for contracting a nosocomial infection and do not cope well with all the noise, light, and people. B. Insurance will not pay for children to stay in the hospital, but they will pay for home care. C. It is too dangerous to use unlicensed assistive personnel to staff pediatric units and too expensive to hire professional nurses. D. There are not enough expert pediatric nurses to staff additional pediatric units.
Which fluid shift occurs when a hypertonic intravenous solution is administered?
a. Fluid moves from the venous circulation into the interstitial space. b. Fluid moves from the interstitial space into the venous circulation. c. Fluid moves from the arterial circulation into the venous circulation. d. Fluid moves from the plasma into the cells.