When assessing a neonate born at 38 weeks of gestation, the nurse records his weight as 8 pounds, 10 ounces. What will the nurse consider this newborn?
a. Term
b. Small for gestational age
c. Large for gestational age
d. Late preterm
ANS: C
Term infants over 4000 g (8.8 lb) may be classified as large for gestational age (LGA). For the preterm infant this is less than 38 weeks, for the term infant it is 38 to 42 weeks, and for the postterm infant it is beyond 42 weeks. A late preterm infant, also known as a near-term infant, is born between 34 and 36 weeks.
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The nurse assessing the level of consciousness in a patient will perform the following: (Arrange in order from the simplest to the most complex. Separate letters by a comma and space as follows: A, B, C, D.)
A. Apply pressure to the nail bed. B. Shake the patient. C. Touch the patient. D. Call the patient's name. E. Approach the patient.
A client is admitted to the emergency department with significant blood loss. The physician orders 2 units of packed red blood cells to be transfused immediately. Which blood groups would be compatible with his O Rh-positive blood group?
A) O Rh-positive or O Rh-negative B) Only O Rh-positive C) Only O Rh-negative D) AB Rh-positive or Rh-negative
A 3-year-old is brought to the emergency department with symptoms of stridor, fever, restlessness, and drooling. No coughing is observed. Based on these findings, the nurse should be prepared to assist with what action?
a. Throat culture b. Nasal pharynx washing c. Administration of corticosteroids d. Emergency intubation
Tim is a new patient to your mental health unit. He gets your attention, and when the two of you are alone he informs you that he "has the secret to eternal youth
" He offers to tell you, but he is unable to because "they're out there hiding so they can steal it from me. I must be very careful." Your best therapeutic response to Tim is: A) "Tim, I don't see anyone but you and me. It's time for dinner now. I'll walk with you to the dining room." B) "Tim, nobody can have eternal youth. That's not realistic so don't talk about that anymore." C) "I'd love to hear about it, Tim. Tell me your secret." D) "I'll make sure 'they' are all gone, then you can tell me."