The nurse notes that a 1-day-old infant's immunoglobulin M (IgM) antibodies are elevated. Which is the least likely cause for this elevation?
1. Placental leakage
2. Intrauterine exposure to syphilis
3. Intrauterine exposure to TORCH (toxoplasmosis, rubella, cytomegalovirus, herpesvirus hominis type 2 infection) syndrome
4. Maternal–fetal transfer of IgM while in utero
4
Explanation:
1. Elevated levels of IgM at birth may indicate placental leaks.
2. Elevations in IgM may be due to newborn exposure to an intrauterine infection such as syphilis.
3. Elevations in IgM at birth may be due to newborn exposure to an intrauterine infection such as TORCH syndrome.
4. Because IgM does not normally cross the placenta, most or all of it is produced by the fetus beginning at 10 to 15 weeks' gestation.
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The patient has been diagnosed with a severe blockage of the proximal left anterior descending artery. What cardiac disturbance does the nurse anticipate as most likely?
A) Arrhythmias from the sinoatrial node B) Arrhythmias from the atrioventricular node C) Atrial muscle dysfunction and failure D) Disturbance in bundle branch conduction
Negative feedback should be given:
A) In the nursing station B) During report C) With a yearly evaluation D) Privately
A congressional mandate for the addition of folic acid to cereals in the United States to reduce neural tube defects in infants has been implemented. Which of the following levels of prevention has been addressed?
a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Assessment
Electronic MARs
A. do not require a log-in name or secure passwords. B. include medication orders and administration times. C. do not include medication records. D. are not used for physician's orders or documentation of medication administration.