When providing anticipatory guidance to a new mother, what information does the nurse convey about the newborn's neurologic and sensory/perceptual functioning? Note: Credit will be given only if all correct and no incorrect choices are
selected. Select all that apply. 1. Newborns respond to and interact with the environment in a predictable pattern of behavior, reacting differently to a variety of stresses.
2. The usual position of the newborn is with extremities partially flexed, legs near the abdomen.
3. Newborns do not react to bright light, and their eye movements do not permit them to fixate on faces or objects until they are 3 months of age.
4. Newborns have the capacity to utilize self-quieting behaviors to quiet and comfort themselves.
5. The newborn is very sensitive to being touched, cuddled, and held.
1,2,4,5
Rationale 1: Newborns respond and interact with the environment in a predictable pattern of behavior that is shaped by their intrauterine experience.
Rationale 2: This is the common position of the newborn.
Rationale 3: Eye movements are observable during the first few days of life. A bright light shining in the newborn's eyes elicits the blinking reflex.
Rationale 4: Newborns have several behavioral capacities that assist in their adaptation to extrauterine life, such as fist sucking and staring at an external stimulus.
Rationale 5: A mother's first response to an upset or crying newborn is touching or holding.
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The nurse taking care of a patient recently diagnosed with somatic symptom disorder knows that which biological symptoms are related to this disorder? Select all that apply
1. Pain 2. Anxiety 3. Gastrointestinal distress 4. Paralysis 5. Blindness
While inflating the balloon of a pulmonary artery catheter (PAC) with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP), the nurse encounters resistance. What is the best nursing action?
a. Add an additional 0.5 mL of air to the balloon and repeat the procedure. b. Advance the catheter with the balloon deflated and repeat the procedure. c. Deflate the balloon and obtain a chest x-ray study to determine line placement. d. Lock the balloon in the inflated position and flush the distal port of the PAC with normal saline.
The nurse would like to ensure that a cancer client receives the maximum benefit from music being played in the client's room. According to research, which intervention should the nurse plan?
1. Use music popular in the happiest years of the client's life. 2. Play classical music quietly in the background. 3. Plan time for the nurse to stay with the client while the music is played. 4. Play only music that has a positive, uplifting message.
The client is prescribed Phenergan (promethazine hydrochloride) 12.5 mg IM q4h prn nausea. The vial is labeled 50 mg/mL. How many mL of medication will the nurse administer to this client? Round the answer to the nearest hundredth
What will be an ideal response?