A common method for estimating gestational age of a newborn is to assess:
a. middle finger length.
b. creases on the sole of the foot.
c. umbilical placement.
d. visual acuity.
B
To determine gestational age, look at the soles of the feet. Before 36 weeks' gestation, only one or two transverse creases are present; by 40 weeks' gestation, many creases are present on the soles of the feet. Other clues to gestational age include a breast nodule less than 3 cm, cartilage in the helix of the ear, descending of the scrotum and amount of rugae, and extremities in flexed positions.
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The nurse is assigned to be a member of the Risk Management Team. Which events would be addressed by this team? Select all that apply
1. The client has an allergic reaction to the preservative in the barium used in a barium swallow. 2. A client?s family is dissatisfied with the meals that are served. 3. The client leaves the hospital against medical advice (AMA). 4. The client claims he is not ready to be discharged. 5. The family does not want the client to be transferred from the intensive care unit (ICU).
An older patient who is prescribed doxazosin mesylate (Cardura) has a lying blood pressure of 124/76 mm Hg and a sitting blood pressure of 100/64 mm Hg. What additional observation is needed for this patient?
1. Fall risk 2. Nausea and vomiting 3. Decreased urine output 4. Change in mental status
The community health nurse assesses clients at a health fair. Which statement assists the nurse to identify modifiable risk factors in clients with coronary artery disease?
a. "Would you please state your full name and birth date?" b. "Have you ever had an exercise tolerance stress test?" c. "In what activities do you participate on a daily basis?" d. "Does anyone in your family have a his-tory of heart disease?"
Certain patients and residents tend to wander. Who needs to know who they are?
a. The nursing team involved in their care b. The health team c. The nursing assistants d. The entire staff