How might the nurse demonstrate the parachute reflex with an infant?
a. Lifting the infant high in the air above her head
b. Holding the infant in a football hold, cradling the head
c. Seating the infant in a stroller in an upright position
d. Thrusting the infant downward into the crib
ANS: D
The infant, when thrust downward in a prone position, will protectively extend the arms.
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Documentation should include:
1. objective and subjective data. 2. observations made by other nursing staff. 3. information that is accurate and complete. 4. incidence reports.
A nursing student asks a nurse to clarify the differences between the mechanisms of spontaneous mutation and conjugation in acquired resistance of microbes. What will the nurse say?
a. Conjugation results in a gradual increase in resistance. b. Conjugation results in random changes in the microbe's DNA. c. Spontaneous mutation leads to resistance to only one antimicrobial agent. d. Spontaneous mutation can transfer DNA from one organism to another.
You recognize that an FHR tracing has been showing a decrease in variability for the last 45 minutes. Your first intervention should be to
A. Encourage ambulation B. Administer oxygen C. Discontinue IV fluids D. Increase Pitocin rate
The nurse is caring for a client who has not responded to several antidepressant drugs. The nurse expects the physician to order which classification of medication for this client?
1. SNRI 2. TCA 3. SSRI 4. MAOI