A nurse is assessing a premature newborn. Which assessment findings are consistent with prematurity? (Select all that apply.)

a. Abundant lanugo over the body
b. Ear cartilage soft and pliable
c. Flexed body posture
d. Deep creases on the sole of the foot
e. Skin is bright pink, smooth, and shiny.


ANS: A, B, E
The premature newborn has fine lanugo hair that is abundant over the body. The ear cartilage is soft and pliable, and the soles and palms have minimal creases, resulting in a smooth appearance. The premature newborn's skin is bright pink (often translucent, depending on the degree of immaturity), smooth, and shiny, with small blood vessels clearly visible underneath the thin epidermis. In contrast to full-term infants' overall attitude of flexion and continuous activity, preterm infants may be inactive and listless. The extremities maintain an attitude of extension and remain in any position in which they are placed.

Nursing

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A hospital has implemented a policy whereby parental consent is required before a PKU test is drawn. The laboratory technician says,

"I don't see why we need a special consent for a PKU. It is a blood test just like a potassium level." How should the nurse respond? 1. "I don't understand either, but we should follow the rules." 2. "Isn't a PKU more expensive to run than simple tests like potassium levels?" 3. "PKU is a genetic test, which is different from a simple electrolyte level." 4. "Before long we will have to get consent for each test we draw."

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A 26-year-old female client diagnosed with bipolar disorder delivers her first child. The nurse's assessment is guided by the knowledge that epidemiological data suggests:

a. a strong link between bipolar disorder and postpartum psychosis b. postpartum hormonal changes help improve the symptoms of bipolar disorder c. bipolar disorder symptoms resume after delivery at the same level as prepregnancy d. no discernible pattern relating postpartum depression with preexisting bipolar disorder

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The staff of the ___________________ will need to enter, maintain, and retrieve data from electronic health records within a hospital setting.

Fill in the blank(s) with the appropriate word(s).

Nursing

For which reason will betamethasone IM be administered to the mother in premature labor?

a. To stop uterine contractions b. To prevent precipitous labor c. To stimulate lung maturity in the fetus d. To stimulate prolactin to enhance breastfeeding

Nursing