The Advanced Practice Nurse (APN) is using an otoscope to assess the ears of a 1-year-old. What would it be important for the APN to do?
A) Pull the ear lobe up and back
B) Brace the hand holding the otoscope against the infant's face
C) Have the infant supine with the head held by the nurse
D) Have the infant sit with the head held by the nurse
B
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A nurse observes the parent–child interaction during the 6-year-old well-child checkup and notes that the parent speaks harshly to the child and uses negative remarks when speaking with the nurse
Which statement by the nurse would be most beneficial? 1. "Perhaps you should leave the room so that I can speak with your child privately." 2. "I am going to refer you for counseling, since your interactions with your child seem so negative." 3. "Let's talk privately. Let's discuss the way you speak with your child, and possible ways to be more positive." 4. Addressing the child, the nurse says, "Are you unhappy when Mommy talks to you like this?"
The nurse is assessing a 2-hour-old newborn delivered by cesarean at 38 weeks. The amniotic fluid was clear. His mother had pre-eclampsia. His respiratory rate is 80; he is grunting, and has nasal flaring
What is the most likely cause of this infant's condition? 1. Meconium aspiration syndrome 2. Transient tachypnea of the newborn 3. Respiratory distress syndrome 4. Prematurity of the neonate
A patient has been prescribed lithium therapy. Which of the following signs and symptoms will the nurse tell the patient to report immediately?
A) Increased urination B) Muscle twitching C) Hair loss D) Increased thirst
A laboring mother has recurrent late decelerations. At birth, the infant has a heart rate of 100, is not breathing, and is limp and bluish in color. What nursing action is best?
1. Begin chest compressions. 2. Deep-suction the airways. 3. Begin bag-and-mask ventilation. 4. Obtain a blood pressure reading.