The perinatal nurse completes the Ballard Gestational Age by Maturity rating tool. The nurse assesses which components as part of this tool? (Select all that apply.)
A.
Behavioral
B.
Neuromuscular
C.
Physical
D.
Psychological
E.
Reflexive
ANS: B, C
With the Ballard assessment system, the infant examination yields a score of neuromuscular and physical maturity that can be extrapolated onto a corresponding age scale to reveal the infant's gestational age in weeks.
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A nurse assesses a client suspected of having the diagnosis of major depressive episode. Which client symptom would rule out this diagnosis?
1. The client is disheveled and malodorous. 2. The client refuses to interact with others and isolates self in room. 3. The client is unable to feel any pleasure. 4. The client has maxed-out charge cards and exhibits promiscuous behaviors.
During an assessment the nurse learns that an older patient uses flavonoids to help reduce joint inflammation caused by osteoarthritis
Which dietary items should the nurse ensure the patient receives to maintain this patient's practice? (Select all that apply.) A) Green tea B) Chocolate C) Grapefruit D) Blueberries E) Raspberries
An instructor is describing the use of health information technology to meet national safety goals. The instructor determines that the students need additional teaching when they state which of the following?
A) Barcodes and chips in armbands promote accurate patient identification. B) Agencies are providing electronic reports for transfer of patients to on-call staff. C) Clinical decision support systems could alert providers to double-check their order. D) Automated dispensing systems dramatically reduce the risk of stocking errors.
A patient is admitted for treatment of malnutrition. What assessment finding does the nurse identify that indicates the patient is experiencing a vitamin C deficiency?
A. Smooth tongue B. Bleeding gums C. Ataxia D. Muscle cramps