The nurse working with children with genetic disorders compares the characteristics of Down syndrome and fragile X syndrome. Which of the following is common for both disorders?
A) Round, small, short head
B) Small, low-set ears
C) Simian creases on the hands
D) Upward, outward slant of eyes
C
Feedback:
The hands of children with Down syndrome and fragile X syndrome have simian creases. The child with fragile X syndrome has an abnormally large head, large protruding ears, and wide set eyes.
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The labor nurse is providing care for a patient admitted for induction of labor at 38 weeks' gestation. The patient's Bishop score is 5, and an infusion of oxytocin (Pitocin) is initiated with orders that read as follows:
mix 30 units of Pitocin in 500 mL of NS, increase the rate of infusion by 2 mL/hr every 15 to 60 minutes until a pattern of three contractions in 10 minutes is established. What is the priority nursing action for this patient? a. Increase the infusion of Pitocin every 30 to 60 minutes. b. Assess for changes in the patient's cervix every 2 hours. c. Obtain a reactive non–stress test prior to starting the infusion. d. Determine the fetal heart rate baseline for 30 minutes prior to starting the infusion.
The health care provider has fit an older adult with a pessary to manage her cystocele. When providing information to the client, what information should be included?
1. The pessary may increase the risk for pelvic infections. 2. The pessary must be removed before sexual intercourse. 3. The pessary is hypoallergenic, eliminating the possibility of allergic reactions. 4. The pessary provides only minimal contraceptive protection.
When the nurse recognizes that he has documented one client's assessment data on the wrong client's medical record, the nurse should:
A) draw a single line through the error, and initial it. B) use a felt tip pen to cover the error. C) use white out to cover the error. D) replace the record, rewriting the error.
The nursing assessment reveals reduced fremitus. This manifestation is consistent with which conditions? Select all that apply
A) Right-sided heart failure B) Left-sided heart failure C) Pneumonia D) Pulmonary edema E) Bronchial obstruction