A first mother is getting ready for discharge with a beautiful newborn girl
The mother has a lot of questions and concerns about possible complications that can occur. The registered nurse has prepared an educational booklet about health concerns.
The nurse reviews physiologic jaundice with the mother. What are the key things that the nurse needs to include in the teaching on physiologic jaundice?
The nurse reviews infant colic with the mother. What would an infant do that would indicate possible infant colic?
The nurse reviews signs to the new mother about failure to thrive. What is failure to thrive?
Physiologic jaundice refers to jaundice in the neonate unrelated to any pathologic process. It is a result of elevated levels of circulating unconjugated bilirubin in the body. The bilirubin is a product of the hemoglobin removed from worn-out red blood cells. Normally the liver is capable of conjugating the bilirubin so that it can be eliminated. When the liver is immature and incapable of metabolizing bilirubin, the unconjugated form remains in circulation and provides the infant with the characteristic yellowish pigmentation of the skin.
Infant colic is determined by the "rule of three": an infant who is otherwise healthy demonstrates crying for more than 3 hours a day for more than 3 days a year and for greater than 3 weeks at a time. When intolerance is expressed toward breast milk and cow's milk, a lactase deficiency in the infant should be suspected.
Failure to thrive refers to inadequate growth in a child as a result of the inability to obtain or utilize dietary nutrients. Organic failure to thrive refers to a physiologic condition in the child that limits the uptake and utilization of nutrients. In nonorganic failure to thrive, the child's physiological processes are intact, but nutrition is unavailable. Nonorganic failure to thrive is therefore caused by psychological factors.
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The nurse explains to the children of a 82 year old client that the leading cause of injury among older adults is:
1. Accidental poisonings 2. Burns 3. Falls 4. Fires 5.
A nurse is required to observe the characteristics of stool eliminated by a client as part
of routine data collection. The nurse notices a bright red streak in the stool. What is the most likely cause of this observation? A) Hemorrhage in the stomach B) Esophageal varices C) Presence of micro-organisms D) Bleeding in the rectum
A nurse assesses a client who is experiencing acute pain. Which aspects of the pain assessment are gathered first before the detailed assessment? Select all that apply.
A. Location B. Provocation C. Intensity D. Quality E. Radiation
When people go into shock, it means that
A. They have been given very bad news. B. Their heart has stopped beating. C. They are going to have a seizure. D. Not enough blood is getting to vital organs.