A newborn who is large for gestational age (LGA) is:

a. below the 90th percentile for weight.
b. less than the 10th percentile for weight.
c. greater than the 90th percentile for weight.
d. between the 10th and 90th percentiles for weight.


C
The LGA rating is based on weight and is defined as greater than the 90th percentile in weight.

Nursing

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A nurse is preparing to take a client's apical pulse. The nurse places the stethoscope at the point of maximal impulse (PMI) at the:

a. sternum c. right of the midclavicular line b. suprasternal notch d. fifth intercostal space

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A client is receiving interleukin-2 (IL-2) for cancer. Which drug is the nurse prepared to administer if needed?

a. Lorazepam (Ativan) b. Meperidine (Demerol) c. Furosemide (Lasix) d. Epoetin alfa (Epogen)

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The nurse teaches a patient about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions?

a. "After a couple of years, it is likely that I will be able to stop taking the cyclosporine." b. "If I develop an acute rejection episode, I will need to have other types of drugs given IV." c. "I need to be monitored closely because I have a greater chance of developing malignant tumors." d. "The drugs are given in combination because they inhibit different ways the kidney can be rejected."

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A client with COPD is to undergo thoracentesis. What observation is of most concern after the procedure?

A) Respirations 22 B) Blood pressure 142/86 mm Hg C) Respirations deep and regular D) Fluid drainage from the thoracentesis site

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