When assessing the preterm infant the nurse understands that compared with the term infant, the preterm infant has:
a. Few blood vessels visible through the skin.
b. More subcutaneous fat.
c. Well-developed flexor muscles.
d. Greater surface area in proportion to weight.
ANS: D
Preterm infants have greater surface area in proportion to their weight. More subcutaneous fat and well-developed muscles are indications of a more mature infant.
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A nurse is teaching a larger female client about alcohol intake and how it affects hypertension. The client asks if drinking two beers a night is an acceptable intake. What answer by the nurse is best?
a. "No, women should only have one beer a day as a general rule." b. "No, you should not drink any alcohol with hypertension." c. "Yes, since you are larger, you can have more alcohol." d. "Yes, two beers per day is an acceptable amount of alcohol."
A pregnant client who is a lacto-vegetarian asks the nurse for assistance with her diet. What instruction should the nurse give? Select all that apply
1. "Protein is important; therefore, the addition of one serving of meat a day is necessary." 2. "A daily supplement of 4 mg vitamin B12 is important." 3. "The high fiber in a vegetarian diet is dangerous for pregnant women." 4. "Eggs are important to add to your diet. Eat six eggs per week." 5. "Milk products contain protein, but they are very low in iron."
Which of the following individuals is at greatest risk for bladder cancer?
A) Male aged 70 years who retired as a manager for a dye factory B) Female aged 70 years who retired as a manager for a dye factory C) Male aged 70 years with a history of hypertension and diuretics treatment D) Female aged 70 years with a history of hypertension and diuretics treatment
Review of a 7-year-old boy's chart reveals a diagnosis of Duchenne muscular dystrophy made after the patient began to exhibit Gowers' maneuver. Which movements would the nurse expect to assess?
1. The child rocks backward and forward several times before being able to get up from a chair. 2. The child extends both arms out to the sides for balance while walking. 3. The child gets onto the hands and knees before achieving a standing position from the floor. 4. The child must roll to the side and push up from the floor with the hands.