A pregnant client is seen by the nurse in the antenatal clinic. On inspection, the nurse expects that this client's breasts will have:
1. Softer tissue
2. Flatter nipples
3. Darkened areola
4. Diminished superficial veins
ANS: 3
Normal changes of the breasts during pregnancy include the areola becoming darker and the di-ameter increasing. Breast tissue becomes softer during menopause, not pregnancy.
Nipples become flatter in older adulthood. Superficial veins become more prominent during pregnancy.
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A mother who has three older children now has a newborn. She complains to the physician that sleeping on his back has caused her baby to have "a funny-shaped head" that the other kids didn't have
She doesn't want to continue having the baby sleep on his back. Which action by the nurse is best? A. Document the comments and alert the physician to the concern. B. Encourage her to put the baby on his stomach during the day. C. Explain that babies need to sleep on their sides at all times. D. Tell her that back-sleeping isn't important after 5 months of age.
A patient in the emergency department has a cardiac arrest, and a lawsuit is filed alleging that the triage nurse failed to appreciate acute cardiac symptomatology. The nurse's action or inaction is an example of which of the following?
a. Negligence c. Ignorance b. Invasion of privacy d. Malpractice
While reviewing the chart for an assigned client before beginning care, a student notes that the client does not belong to a specific religion. Based on this information, what should the student interpret about the client?
A) A person may be deeply spiritual but not profess a religion. B) Belonging to an organized religion is essential to spirituality. C) The student will not have to consider the spiritual dimension. D) The client should be referred for spiritual counseling.
Which clinical manifestation would the nurse identify as an allergic reaction?
1. Urticaria 2. Photosensitivity 3. Abdominal cramping 4. Complaints of diarrhea