The client presents to the clinic for an initial prenatal examination
She asks the nurse if there might be a problem for her baby because she has type B Rh positive blood and her husband has type O Rh negative blood, or because her sister's baby had ABO incompatibility. What is the nurse's best answer? (Select all that apply.) A. "Your baby would be at risk for Rh problems if your husband was Rh negative."
B. "Rh problems only occur when the mother is Rh negative and the father is not."
C. "ABO incompatibility occurs only after the baby is born."
D. "We don't know for sure, but we can test for ABO incompatibility."
E. "Your husband being type B puts you at risk for ABO incompatibility."
D
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During the visit to the pediatric office, a nurse observes the mother frequently looking at and massaging her infant. Based on these observations, the nurse's conclusion should be:
1. That the mother is displaying positive maternal-infant attachment. 2. That the mother is trying to show the nurse that she can be affectionate to the infant. 3. That there is insufficient data to assess the mother-infant relationship. 4. That the mother might be overwhelmed by the demands of infant care.
A pre-teen quadriplegic patient was admitted with pressure ulcers to both ankles. The nurse should assess which parameters for a wound assessment? (Select all that apply.)
a. Size b. Viable versus nonviable tissue c. Tissue type involvement d. Preventive measures e. Anatomical location
A patient in the emergency department reports tightness in his chest and shortness of breath after mowing his lawn several hours ago on a warm, humid day. On assessment, the patient has a heart rate of 110 beats/minute, respiratory rate of 32 breaths/minute, blood pressure of 130/80 mm Hg, and an oral temperature of 97.2 degrees F. Expiratory wheezing is heard on auscultation of his lungs. The
nurse suspects that the patient is most likely experiencing asthma due to: A) air pollution. B) infection. C) exercise. D) allergens.
The nurse is teaching a school-age child about factors that can delay wound healing. What factors should the nurse include in the teaching session? (Select all that apply.)
a. Deficient vitamin C b. Deficient vitamin D c. Increased circulation d. Dry wound environment e. Increase in white blood cells