A nurse tests a reflex on a 9-month-old infant's right foot by stroking the surface of the infant's foot, moving from the sole laterally up and across to the great toe. What is the expected response?
a. Flexion of the right toes
b. Extension of the right ankle
c. Dorsiflexion of the right foot
d. Fanning of the toes of the right foot
ANS: D
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The nurse knows that the patient taking olanzapine for SSD will need to be followed in order to help manage which aspect of care?
1. Weight 2. Anxiety 3. Vital signs 4. Physical competence
A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-minute second stage. There was a nuchal cord. After birth the infant is noted to have petechiae over the face and upper back
Information given to the infant's parents should be based on the know-ledge that petechiae: a. Are benign if they disappear within 48 hours of birth. b. Result from increased blood volume. c. Should always be further investigated. d. Usually occur with forceps delivery.
What are the four phases of pharmacokinetics that a drug goes through?
1. Absorption, distribution, ionization, and metabolism 2. Diffusion, bioavailability, metabolism, and excretion 3. Absorption, distribution, metabolism, and excretion 4. Active transport, ionization, diffusion, and excretion
When caring for a client with a percutaneous endoscopic gastrostomy (PEG) tube, what protocols should the nurse implement for intermittent feedings?
A. flushing the tube with 50 ml of normal saline solution after each feeding B. assessing residual amounts once a day C. changign the enteral-feeding bag every 24 hours D. keeping the head of the bed elevated 30 degrees E. checking the placement of the tube by means of gastric aspiration