A mother gives birth to a preterm infant. When inspecting the baby after birth, the nurse would expect to find:
a. The skin is firm and opaque
b. Superficial veins may be seen beneath the abdomen and scalp
c. Vernix caseosa
d. Abdomen is flat or inverted
B
The skin is transparent and loose. The baby is covered in lanugo. The vernix caseosa is absent. The abdomen protrudes. Superficial veins are visible on abdomen and scalp.
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Disturbed body image is the nursing diagnosis for a patient with an eating disorder. Which outcome indicator is most applicable to this diagnosis?
a. Weight, muscle, and fat congruence with height, frame, age, and sex b. Calorie intake within required parameters of treatment plan c. Weight at established normal range for the patient d. Patient satisfaction with body appearance
What is the expected pattern of breathing?
A 25-year-old type 1 diabetic clerk presents to the emergency room with shortness of breath and states that his blood sugar was 605 at home. You diagnose the patient with diabetic ketoacidosis. A) Normal B) Rapid and shallow C) Rapid and deep D) Slow
Which statement is most accurate regarding the fine motor skills of a 3-year-old?
A) The child can use scissors B) The child can button their clothes C) The child can tie their shoelaces D) The child can print a few letters
The nurse is working with a small child who is in Bryant's traction. During the initial assessment of the shift, the nurse will make certain that:
a. the child is in Sims' position b. only one leg is suspended c. the child's buttocks are off the bed d. the legs are flexed slightly less than 180 degrees