The nurse is conducting a prenatal class to expectant parents. When one of the couples asks how children grow, the nurse explains that growth and development proceeds in a number of ways
Which of the following descriptions will the nurse use to accurately reflect normal growth and development? Standard Text: Select all that apply. 1. Cephalocaudal direction
2. Simple to complex
3. Distal to proximal direction
4. Generalized response to specific response
5. Anterior to posterior
1,2,4
Rationale 1: Cephalocaudal direction. Growth and development occurs in a cephalocaudal direction; from head to toe.
Rationale 2: Simple to complex. Growth and development proceeds from simple to complex; an infant will reach out for an object before actually being able to grasp the object.
Rationale 3: Distal to proximal direction. Growth and development does not proceed from distal to proximal but rather from proximal to distal; i.e., from the center of the body outward.
Rationale 4: Generalized response to specific response. Growth and development progresses from general to specific responses; an infant responds to stimuli with the entire body, and older child will respond more specifically, for example, with a smile.
Rationale 5: Anterior to posterior. Anterior to posterior does not describe a pattern of normal growth and development.
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a. "To control pain." b. "To relieve foot swelling." c. "To strengthen leg muscles." d. "To restore joint function."
A client asks her nurse, "Is it okay for me to take a tub bath during the heavy part of my menstrual cycle?" The correct response by the nurse is:
1. "Tub baths are contraindicated during menstruation." 2. "You should shower and douche daily instead." 3. "Either a bath or a shower is fine at that time." 4. "You should limit bathing and use a feminine deodorant spray during menstruation."
The nurse is performing an admission assessment of a 72-year-old female patient who understands minimal English. An interpreter who speaks the patient's language is unavailable and no members of the care team speak the language
How should the nurse best perform data collection? A) Have a family member provide the data. B) Obtain the data from the old chart and physician's assessment. C) Obtain the data only from the patient, prioritizing aspects that the patient understands. D) Collect all possible data from the patient and have the family supplement missing details.
A school-age child weighing 55 lb is prescribed to receive 15 ml/kg of packed red blood cells
If the child is to receive 10 ml/kg/hr, how many hours will it take to infuse the prescribed amount of blood for this patient? (Calculate to the nearest 10th decimal point.)