ANS: B Mongolian spots are irregular areas of deep blue pigmentation, which are common variations found in newborns of African, Asian, Native American, or Hispanic descent. Acrocyanosis is cyanosis of the hands and feet; this is a usual finding in infants
a. 60 to 80 beats/min
b. 80 to 100 beats/min
c. 120 to 140 beats/min
d. 160 to 180 beats/min
ANS: C
The pulse rate of the newborn varies with periods of reactivity. Usually the pulse rate is between 120 and 140 beats/min. Sixty to 100 beats/min is too slow for a newborn, and 160 to 180 beats/min is too fast for a newborn.
You might also like to view...
Today is the last day of work on the medical-surgical unit for a nurse who has decided to work in home care. A patient asks her why she is leaving to work in home care. Select a response that best illustrates the advantages of home care
a. "Care is much more comprehensive and unhurried in the home; it is more enjoyable for nurses to work in home care." b. "Home care is much more organized than hospital care; you have access to the whole team, and there is less interference from others." c. "A home health nurse has more autonomy and skills than a hospital nurse does; I'll get to do more." d. "In home care, I can see my patients in their personal environment; this will help me understand them more and allow me to give personalized care."
A patient has a deficiency of an enzyme that prepares a specific drug for elimination. When planning care for this patient, the nurse remains alert for which response or issue?
a. Toxic blood levels of the drug are more likely to occur. b. Higher drug dosages will be needed for the intended action to occur. c. The drug will be eliminated more rapidly in the feces rather than in the urine. d. Delivery of this drug by the parenteral route is more effective than by the enteral route.
A nurse is providing patient education regarding the development of drug tolerance. Which statement made by the nurse is correct with regard to the development of drug tolerance?
a. Drug tolerance is most often seen with the use of opioids. b. The patient will require a greater dosage of drug for the same effect to be achieved if tolerance has developed. c. Tolerance depends on the patient's ability to metabolize the drug. d. Addiction may develop if the drug is not fully excreted, leading to tolerance.
A nurse is assessing an Asian client and observes several reddened and bruised areas on the skin. Further assessment reveals that the client was using cupping to treat back pain. The nurse interprets this as which of the following?
A) Placing heated glass jars on the skin that are allowed to cool B) Rubbing ointment into the skin with a spoon C) Attaching smoldering herbs to acupuncture needles D) Placing warm burning herbs directly on the skin