Newborns whose mothers are substance abusers frequently have which of the following behaviors?
a. Circumoral cyanosis, hyperactive Babinski reflex, and constipation
b. Decreased amounts of sleep, hyperactive Moro's reflex, and difficulty feeding
c. Hypothermia, decreased muscle tone, and weak sucking reflex
d. Excessive sleep, weak cry, and diminished grasp reflex
B
The infant exposed to drugs in utero often has poor sleeping patterns, hyperactive reflexes, and uncoordinated sucking and swallowing behavior.
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The nurse is caring for a breastfed full-term infant who was born after an uneventful pregnancy and delivery. The infant's blood glucose level is 36 mg/dL. Which action should the nurse implement?
a. Bring the infant to the mother and initiate breastfeeding. b. Place a nasogastric tube and administer 5% dextrose water. c. Start a peripheral intravenous line and administer 10% dextrose. d. Monitor the infant in the nursery and obtain a blood glucose level in 4 hours.
Which of the following data are most important for the nurse to consider when providing care to patients?
a. Best practice standards of care b. The nurse's personal beliefs and practices c. Physician specific standing orders d. Outcomes from previous similar patients
The nurse makes certain that a client, who is Catholic, is able to attend Mass on Sunday. The nurse had determined the client's religious practices from the assessment. This is an example of:
A) Ethnocentrism. B) Differential treatment based on spiritual beliefs. C) Culturally competent care. D) Cultural blindness.
The postpartum unit nurse is caring for a family who delivered a term stillborn infant yesterday
The mother is heard screaming at the nutrition services worker, "This food is horrible! You people are incompetent and can't cook a simple edible meal!" The nurse understands this as: A. An indication the mother is in the anger phase of grief. B. An abnormal response to the loss of the child. C. Reactive stress management techniques are being used. D. Denial of the death of the child she delivered yesterday.