The nurse documents that a newborn has a normal head-to-body proportion. What did the nurse document in the baby's medical record?
A) Head one half of total length
B) Head one sixth of total length
C) Head one fourth of total length
D) Head one eighth of total length
C
Feedback:
A newborn's head usually appears disproportionately large because it is about one fourth of the total body length. The newborn's head is not one half, one sixth, or one eighth of the total body length.
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A nursing faculty member is explaining potential complications from epidural anesthesia to a class of nursing students. Which information does the nurse include? (Select all that apply.)
A. Bizarre behavior B. Increased need for oxytocin (Pitocin) C. Lengthened duration of labor D. Shiver response E. Urinary incontinence
The young college student who wants a tan before spring break asks the nurse what the safest method would be. The nurse's best response is:
a. take advantage of morning sun while us-ing sunscreen with an SPF of 30. b. use a spray-on tanning solution. c. use a sun lamp for only 20 minutes a day. d. use a tanning salon for no more than 10 minutes per visit.
The nurse is caring for a Spanish-speaking client admitted for exacerbation of chronic obstructive pulmonary disease (COPD). Which of the following interventions would be the most beneficial for this client?
1. Encourage activity 2. Obtain a Spanish-speaking interpreter to assist with the completion of the assessment 3. Obtain educational materials regarding the disease process and smoking cessation written in Spanish 4. Encourage family members to stay with the client to assist with communication needs
Which will influence hygiene choices?
a. The person's care plan b. The person's culture c. The person's family d. The skin care products available