When the nurse observes small, raised white spots on a newborn infant's chin, nose, and forehead, he or she would document the presence of:
a. Lanugo
b. Milia
c. Vernix caseosa
d. Erythema toxicum
ANS: B
Milia are small, raised white spots that are actually distended sebaceous glands. They will disappear spontaneously.
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A breastfeeding mother asks the postpartum nurse if any supplementation is necessary once her breast milk comes in. What is the nurse's best response?
a. "Are you concerned about your ability to adequately nurse your baby?" b. "Do you eat a well-balanced diet, high in protein and carbohydrates?" c. "Breast milk is low in vitamin D and supplementation with 400 IU is recommended." d. "Your breast milk has all the vitamins and will adequately meet your baby's needs."
Order: NS 1,000 mL IV stat. at 125 mL/h for eight hours. Because the drop factor is 10 gtt/mL, the initial flow rate was correctly set at 21 gtt/min. After four hours, 600 mL remain to be infused. The infusion is behind schedule
Compute the new flow rate in gtt/min. so that the infusion will finish on time. If flow rates may not be adjusted by more than 25% of the original rate, to what rate would you reset the drip rate, or would you contact the prescriber instead? 1. Contact the prescriber. 2. 25 gtt/min. 3. 150 gtt/min. 4. 23 gtt/min.
A nurse is counseling a client who has just ended an abusive relationship. Which emotion would the client most likely display?
a. Anger b. Apathy c. Grief d. Guilt
Which of the following most accurately defines the evolving concept of a family?
A) Persons who are related by common inheritance or adoption B) Persons identified as family or significant others C) Anyone living in the residence D) A mother, father, and two or more children living together