Wrong Answers
When does the anterior fontanel of an infant close?
At 12 to 18 month
How many days is the neonatal period? Record your answer using whole numbers. __________ days
28
The nurse discusses the recommended weight gain during pregnancy with a newly pregnant client who is 5 ft 3 in (160 centimeters) tall and weighs 130 lb (57 kilograms). The nurse explains that with the recommended weight gain, at term the client should weigh how much?
A weight of 150 lb (68 kg) would put the client within the recommended weight gain of at least 25 lb (11 kg) for a woman who was of average weight for her height before pregnancy. A weight of 140 lb (63.5 kg) is less than the recommended weight gain for a woman of average weight for height before pregnancy, as are 135 lb (61 kg) and 130 lb (57 kg). Recommendations are that women with a normal body mass index (BMI) should gain 25 to 35 lb (11.3 to 15.9 kg) during pregnancy.
According to Erikson, what will an individual who fails to master the maturational crisis of adolescence most often do?
Experience role confusion.
According to Piaget's theory of cognitive development, what should the nurse expect a 6-month-old infant to demonstrate?
Beginning of object permanence
Signs and symptoms of hypokalemia
Blood pressure drops, as heart muscle function deteriorates. A rapid, weak, irregular pulse occurs in response to the decreased heart muscle function. Ventricular dysrhythmias may occur. Lethargy, muscle weakness and cramping, anorexia, and decreased bowel motility
What is the similarity between Havinghurst's stage-crisis theory and Erikson's psychosocial development theory? 1. Both theories are based on developmental tasks. 2 Both theories incorporate eight stages of development. 3 Both theories are based on psychosexual development. 4 Both theories emphasize that a child's growth is directed by gene activity
Both stage-crisis theory and psychosocial development theory are based on developmental tasks. Both theories teach that the successful resolution of a developmental task is essential for a successful progression through life. The stage-crisis theory has six stages whereas the psychosocial development theory has eight stages of development. Freud's theory is based on psychosexual development. Gesell's theory of development suggests that development of child is directed by gene activity.
A nurse is teaching the parents of an 18-month-old child the procedure for instilling ear drops. How should this procedure be done?
By pulling the pinna down and back to straighten the auditory canal before instillation of the drops
What other conditions can lead to respiratory alkalosis?
Central nervous system disease High altitude Salicylate intoxication Hypoxemia A patient on a mechanical ventilator may also become alkalotic, if ventilator settings are too high for the patient.
A client is hospitalized with a diagnosis of emphysema. The nurse provides teaching and should begin with which aspect of care?
Clients need to understand the disease process and how interventions, such as breathing exercises, can improve ventilation. Learning to control or prevent respiratory infections is important, but it should be taught later. Although it is helpful to know about aerosol therapy and nebulizers, knowing how to use aerosol therapy, especially nebulizers, should be taught later. Although it is important to teach the client how to set priorities in carrying out everyday activities, this should be taught later.
What is the normal range for Hct for male and female?
Male: 42-52 Female: 37-47
What type of lochia should the visiting nurse expect to observe on a client's pad on the fourth day after a vaginal delivery?
On the third to fourth day the uterine discharge becomes pink to brown; it continues until approximately the 10th day. After about 10 days the uterine discharge becomes yellow to white (alba); alba may continue until 2 to 6 weeks after the birth. It is unusual to have scant lochia rubra. Lochia rubra lasts from the first to about the third day; it is usually heavy but may be moderate after a few days.
Oxygen therapy is prescribed for a client being cared for in the coronary care unit. The nurse implements safety precautions. Which information should the nurse consider when planning care for this client? 1. Oxygen is flammable. 2. Oxygen supports combustion. 3. Oxygen has unstable properties. 4. Oxygen converts to an alternate form of matter
Oxygen is necessary for the production of fire. Oxygen does not burn; it supports combustion. Flammability, unstable properties, and conversion to an alternate form of matter are irrelevant regarding the need for safety precautions.
A 26-year-old G1 P0 client is seen in the clinic for her routine prenatal visit at 29 weeks' gestation. On examination the nurse notes that she has gained 8 lb (3.6 kg) since her last visit, 2 weeks ago; that her blood pressure is 150/90 mm Hg; and that she has 1+ proteinuria on urine dipstick. What is the most likely diagnosis for this client?
Preeclampsia is hypertension that develops after 20 weeks' gestation in a previously normotensive woman. With mild preeclampsia the systolic blood pressure is below 160 mm Hg and diastolic BP is below 110 mm Hg. Proteinuria is present, but there is no evidence of organ dysfunction. Severe preeclampsia is a systolic blood pressure of greater than 160 mm Hg or diastolic blood pressure of at least 110 mm Hg and proteinuria of 5 g or more per 24-hour specimen. Chronic hypertension is hypertension that is present before the pregnancy or diagnosed before 20 weeks' gestation. Gestational hypertension is the onset of hypertension during pregnancy without other signs or symptoms of preeclampsia and without preexisting hypertension.
At a routine monthly visit, while assessing a client who is in her 26th week of gestation, the nurse identifies the presence of striae gravidarum. The nurse describes this condition to the client as what?
Reddish streaks on the abdomen and breasts are striae gravidarum; they occur as a result of stretching of the breast and abdominal skin. These are known as "stretch marks." Chloasma refers to the condition where brownish blotches develop on the face. Purplish discoloration of the cervix is Chadwick sign. A black line running between the umbilicus and mons veneris is the linea nigra.
Which stage of HIV would a client with a CD4+ T-cell count of 325 cells/mm3 be classified? 1 Stage 1 Correct 2 Stage 2 3 Stage 3 Incorrect 4 Stage 4
Stage 2 describes a client with a CD4+ T-cell count between 200 and 499 cells/mm3. Stage 1 describes a client with a CD4+ T-cell count of greater than 500 cells/mm3. Stage 3 describes a client with a CD4+ T-cell count of less than 200 cells/mm3. Stage 4 describes a client with a confirmed HIV infection but no information regarding CD4+ T-cell counts is available.
According to the student nurse, in which stage of Erikson's theory does the child initiate self-care activities?
The development of self-care activities in a toddler occurs at the stage of autonomy versus a sense of shame and doubt. This is the second stage of Erikson's theory. The initiative versus guilt stage is the third stage of Erikson's theory. During this stage, children like to pretend and try out new roles. Integrity versus despair is the eighth stage of Erikson's theory. At this stage, many older adults view their lives with a sense of satisfaction. Middle-aged adults achieve success at the stage of generativity versus self-absorption and stagnation. Individuals contribute to future generations through parenthood, teaching, and community involvement.
Arrange the stages of the menstrual cycle in sequential order.
The menstrual cycle begins with the follicular phase. During this phase, one ovarian follicle becomes dominant and produces a large amount of estrogen. After this phase is ovulation; this occurs when the dominant follicle releases an ovum around day 14 of the cycle. After the ovum is released, the follicle involutes with the decreased production of estrogen and thus progesterone in blood. As a feedback response to this decrease, the pituitary gland increases the production of follicle stimulating hormone, which initiates a new menstrual cycle.
The nurse is measuring the body temperature of four neonates born at term in a pediatric health setting. Which neonate has normal body temperature?
The normal body temperature of term neonates is in the range of 36.5° to 37.5° C. Therefore, a body temperature of 37.1° C is a normal finding. The body temperatures of 35.5° C and 36.0° C in neonates 1 and 2 indicate hypothermia. The body temperature of 38.5° C in neonate 4 indicates hyperthermia
A male infant is born at 28 weeks' gestation weighing 2 lb 12 oz (1247 g). What does the nurse expect to note when performing an assessment?
Transparent red skin is expected due to the absence of subcutaneous fat tissue. Preterm infants born nearer to term have open, staring eyes. Preterm infants are generally born with large amounts of lanugo, which begins to thin just before term and by 40 weeks is found only on the shoulders, back, and upper arms. The preterm infant's scrotum is small, and the testicles are usually high in the inguinal canal.
The parents of a 5-month-old infant tell the nurse that they have started to feed the baby fortified cereal mixed with formula. They ask in which order they should introduce new foods. What foods should be selected first?
Vegetables and noncitrus fruits
complaints of numbness and tingling. These are probably due to
hypocalcemia
What is the normal range for Hgb for male and female?
male: 14-18 female: 12-16
