Parents of a newborn ask the nurse why their newborn's head seems lopsided and not round, as they thought it should be. How should the nurse respond to these parents?
1. "I don't think it looks unusual; actually the head is beautifully shaped."
2. "Your baby's head had to shape itself to the birth canal. It will look round in a few days."
3. "You're right. We'll make sure your doctor checks this out."
4. "Babies' heads always look funny. Once his hair grows out, you'll hardly notice it."
Correct Answer: 2
Rationale 1: This option dismisses the parents' concerns.
Rationale 2: Molding of the head is made possible by the fontanels and occurs during vaginal deliveries as the head comes through the birth canal. Within a week, the newborn's head usually regains its symmetry. It is normal with vaginal deliveries. Babies born via cesarean section do not experience molding. Molding is not permanent—a fact that makes parents feel more reassured.
Rationale 3: This condition is not abnormal and does not need to be referred to the doctor; rather, the nurse needs to reassure the parents that nothing is wrong.
Rationale 4: This option is not necessarily true, nor does it adequately address the parents' concerns.
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The nurse is preparing to conduct a cardiac assessment for a pediatric client. Which location will the nurse use when auscultating the apical pulse?
A) At the fifth intercostal space B) At the left nipple C) At the right nipple D) At the 8th intercostal space
The client who had a traumatic brain injury last week is now persistently unconscious, and is being cared for in the Intensive Care Unit. The family asks when attempts to stimulate the client will begin. What is the nurse's best answer?
A) "Stimulation will not begin until transfer to a rehabilitation unit." B) "Attempts begin while the client is still in the ICU." C) "There is little hope of improvement from persistently unconscious states." D) "The stimulation process will begin when the client is physiologically stable."
The intuitive parts of Kolcaba's Comfort Theory cannot be applied separately; they must be applied as a whole
Indicate whether this statement is true or false.
Drug metabolizing capacity is markedly elevated until the age of:
1. 6 months. 2. 1 year. 3. 2 years. 4. 12 years.