The Ballard scoring system is a common gestational age assessment tool, used in assessing the newborn. Which categories are included in determining the neuromuscular maturity of the newborn? (Select all that apply.)
A) Skin
B) Posture
C) Arm recoil
D) Heel to ear
E) Plantar creases
F) Scarf sign
Ans: B, C, D, F
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Mrs. Jones is admitted to the medical-surgical unit with acute shortness of breath and substernal chest pain that she has experienced for several days
The nurse asks her why she did not contact her primary care provider sooner and she responded, "The website that I checked said that I had an allergy." What is the best response to Mrs. Jones? 1. "You are right. The information on the Internet is fairly accurate." 2. "Mrs. Jones, not all websites are accurate and you should check to make sure they were created by a reputable source." 3. "The Internet has a great deal of accurate information." 4. "Why would you check the Internet first?"
Impaired vision may result from a deficiency of:
a. pyridoxine (vitamin B6). c. potassium. b. retinol (vitamin A). d. cyanocobalamin (vitamin B12).
The nurse is educating a patient about care of a stoma after discharge. Which of the following statements indicate a good level of understanding? (Select all that apply.)
a. "I should apply gentle pressure with my hand over the skin barrier to facilitate ad-herence.". b. "I should also use a skin prep such as a paste or adhesive first.". c. "I can get a pouch that absorbs gas odors.". d. "I need to change the pouch every 3 to 7 days.".
The nurse is working with a family of a 5-year-old child with the chronic condition of spina bifida. The nurse partners with the family to plan goals of care. An appropriate goal for this child and family would be for the parents to
1. refuse a wheelchair for the child tomotivate the child to learn to walk. 2. verbalize their frustrations to thenurse. 3. accept the school district's Individualized Transition Plan (ITP). 4. alternately assume care for the child24 hours a day,seven days a week.