Which of the following, if noted in the maternal history, would the nurse identify as possibly contributing to the birth of a LGA newborn?

A) Drug abuse
B) Diabetes
C) Preeclampsia
D) Infection


B
Response:
Maternal factors that increase the chance of having an LGA newborn include maternal diabetes mellitus or glucose intolerance, multiparity, prior history of a macrosomic infant, postdates gestation, maternal obesity, male fetus, and genetics. Drug abuse is associated with SGA newborns and preterm newborns. A maternal history of preeclampsia and infection would be associated with preterm birth.

Nursing

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A published literature review article would be considered a good secondary source for a person doing a literature review on the same topic

A) True B) False

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A 10-year-old child, who has been placed in a foster home after being removed from parental

contact because of abuse, demonstrates a high level of apprehension and overreaction to environmental stimuli. The foster parents ask the nurse what measures they can use to help the child. The nurse should recommend (more than one answer may be correct) A. using a calm manner and low voice. B. avoiding repetition in what is said to the child. C. structuring and maintaining simplicity in the environment. D. minimizing opportunities for exercise and play. E. explaining and reinforcing reality to avoid distortions.

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A client is due for a dose of a transdermal medication. Which of the following steps should be taken by the nurse to properly administer this medication?

1. Apply the patch on a hairy area of skin. 2. Cut or trim the patch to fit in the area selected by the client. 3. Use a patch of a different brand if the client's usual brand of patch is not in stock. 4. Use firm pressure when applying the patch, especially around the edges.

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____ refers to a person who has an obligation to accept responsibility and to account for actions

a. Autonomy c. Authority b. Expertise d. Accountability

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