The nurse assessing a newborn knows that the most critical physiologic change required of the newborn is:
a. Closure of fetal shunts in the circulatory system.
b. Full function of the immune defense system at birth.
c. Maintenance of a stable temperature.
d. Initiation and maintenance of respirations.
D
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A The cardiovascular system changes markedly after birth as a result of fetal respiration, which reduces pulmonary vascular resistance to the pulmonary blood flow and initiates a chain of cardiac changes that support the cardiovascular system.
B The infant relies on passive immunity received from the mother for the first 3 months of life.
C After the establishment of respirations, heat regulation is critical to newborn survival.
D The most critical adjustment of a newborn at birth is the establishment of respirations.
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Which statement by a client with type 2 diabetes indicates a need for further teaching about diabetic management and follow-up care?
a. "I need to have an annual appointment, even if my glucose levels are in good con-trol." b. "Because my diabetes is controlled with diet and exercise, I have to be seen only if I am sick." c. "I can still develop complications, even though I do not have to take insulin at this time." d. "If I have surgery or get very ill, I may have to receive insulin injections for a short time."
Before beginning to perform a gynecological assessment on a woman, you would ask the patient to:
A) Take short, quick breaths to lessen the discomfort. B) Assume the supine position. C) Empty her bladder. D) Review the medical history.
What is the suggested sequence for a systematic approach to begin auscultating the thorax?
a. Anterior thorax b. Apices c. Left lateral thorax d. Right lateral thorax
A 60-year-old male patient is planning to marry a woman in her 30s and is concerned about the need for contraception. How should the nurse respond to this patient?
1. "After age 50, you are considered virtually infertile." 2. "It is still possible at this time of life to father a child." 3. "You should have a vasectomy to avoid fathering a child." 4. "You will only need to be concerned about fertility for another few years."