Nokea
Most newborns receive a prophylactic injection of vitamin K soon after birth. Which site is appropriate for the newborn?
- A. Gluteal muscles
- B. Rectus femoris muscle
- C. Deltoid muscle
- D. Vastus lateralis muscle
Correct Answer: D
Rationale: Vastus lateralis muscle is the recommended site due to its size and safety.
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Which congenital defects in a newborn are associated with long-term parenting problems? (Select all that apply.)
- A. Polydactyl
- B. Cleft lip and palate
- C. Ventral septal defect
- D. Ambiguous genitalia
Correct Answer: B
Rationale: 1. Cleft lip and palate: Parents of a newborn with a cleft lip and palate may face challenges related to feeding difficulties, speech development issues, and concerns about their child's appearance. These issues can require additional medical interventions and support, leading to long-term parenting stress and psychological strain.
The nurse is preparing to teach a prenatal class about fetal circulation. Which statements should be included in the teaching plan?
- A. The ductus arteriosus allows blood to bypass the fetal lungs.
- B. One vein carries oxygenated blood from the placenta to the fetus.
- C. The normal fetal heart tone range is 140 to 160 beats per minute in early pregnancy.
- D. Two arteries carry deoxygenated blood and waste products away from the fetus to the placenta.
Correct Answer: A
Rationale: The ductus arteriosus bypasses fetal lungs. The umbilical vein carries oxygenated blood, and arteries carry deoxygenated blood to the placenta.
What statement by a client suggests the relationship may be in the 'honeymoon phase'?
- A. My partner said that he will never hurt me again.
- B. My partner drinks alcohol only on the weekends.
- C. My partner yells less than he used to.
- D. My partner has frequent bouts of insomnia.
Correct Answer: A
Rationale: Promises to stop abuse characterize the honeymoon phase.
What serum laboratory reports would the nurse expect in a bulimic client?
- A. Potassium 3.0 mEq/L.
- B. Bicarbonate 30 mmol/L.
- C. Platelet count 450,000 cells/mm3.
- D. Hemoglobin A1C 9%.
Correct Answer: A
Rationale: Low potassium levels result from vomiting and purging.
Which interpretation of the data from Table 3-1 is correct?
- A. When one considers those who "read/heard" about the vaccine, there is no significant difference between the percentage of students who received the immunization and those who did not receive the immunization.
- B. The likelihood of students who receive the vaccine when they learned about it from the "health history form" was about 1.6 times that of the "health history form" students who did not receive the vaccine.
- C. 44.4% of those who were not vaccinated received their information from "Letters."
- D. The largest percentage of students who received the vaccine learned about it from the "University Health Service (UHS) providers."
Correct Answer: D
Rationale: According to the table, the largest percentage of vaccinated students learned about the vaccine from UHS providers.