The nurse is using the Ballard scale to determine the gestational age of a newborn. Which assessment finding is consistent with a gestational age of 40 weeks?
1. Flexed posture
2. Abundant lanugo
3. Smooth pink skin with visible veins
4. Faint red marks on the soles of the feet
1
1. Correct. Term infants typically have a flexed posture.
2. Incorrect. Abundant lanugo is usually seen on preterm infants.
3. Incorrect. Smooth pink skin with visible veins is seen on preterm infants.
4. Incorrect. Faint red marks are usually seen on a preterm infant.
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Of the following nursing interventions for fall prevention, which is the least helpful?
a. minimize clutter in the environment b. physical restraints c. strengthening exercises d. walking
The nurse is providing care for a 14-year-old girl with severe acne. The girl expresses sadness and distress about her appearance. Which response by the nurse would be most appropriate?
A) "Are you using your medicine every day?" B) "Your condition will most likely improve in a year or two.". C) "Many people feel this way; I know someone who can help.". D) "If you have any scarring you can undergo dermabrasion.".
A sore or skin ulcer that doesn't heal can be an early warning sign of cancer
True False
During a home care visit, a couple expresses a desire for cosleeping, or sleeping in the same bed with their newborn baby. Which nursing response is most appropriate?
1. "Current research suggests there are no physical risks related to cosleeping, and this recommended as a healthy psychologic approach to family bonding. 2. "Cosleeping is a safe and healthy practice, as long as you make sure your baby is sleeping on the stomach." 3. "Cosleeping is considered a risk factor for SIDS, so families who practice cosleeping need to following specific safety guidelines." 4. "Cosleeping is not recommended; however, if you wish to do this, place your baby on a comforter, as opposed to directly on the mattress."