What is the primary reason for the preterm infant's inability to conserve heat?
a. A smaller surface area in relation to body weight
b. An increased tendency to shiver when cold stressed
c. Increased vasoconstriction of surface blood vessels
d. Lack of subcutaneous fat that would provide some insulation
D
Subcutaneous fat acts as an insulator for the neonate; however, the preterm neonate lacks subcutaneous fat, which builds up during the end of the third trimester of gestation. Even normal neonates are unable to shiver.
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The nurse is palpating the uterus of a woman who is 8 weeks' pregnant. Which finding would be considered to be most consistent with this stage of pregnancy?
a. The uterus seems slightly enlarged and softened. b. It reaches the pelvic brim and is approximately the size of a grapefruit. c. The uterus rises above the pelvic brim and is approximately the size of a cantaloupe. d. It is about the size of an avocado, approximately 8 cm across the fundus.
Which of the following would be a primary source for a research literature review?
A) A meta-analysis appearing in the Cochrane Reviews B) A metasynthesis published in the journal Qualitative Health Research C) An experimental study published in the journal Research in Nursing & Health D) A systematic review published in the journal Nursing Research
An infant has surgery to relieve pyloric stenosis. Which of the following nursing diagnoses would apply in the immediate postoperative period?
A) Excess fluid volume related to increased fluid intake prescribed postoperatively B) Risk for infection of incision line, related to disruption of skin barrier during surgery C) Ineffective tissue perfusion related to pressure on heart chambers D) Anxiety related to new feeding method used postoperatively
Nurse Amy is receiving a change-of-shift report on an inpatient psychiatric unit and learns that nurse Barbara on the previous shift negotiated a no-suicide contract with a client and increased the client's level of restriction to the unit
Nurse Amy's plan of care for the client is based on the understanding that these interventions indicate which of the following? a. The client has improved ability to control impulses. b. There is increased likelihood that the client will attempt self-harm behaviors. c. Eventual completed suicide by this client is inevitable. d. The client is simulating discharge conditions on a trial basis.