Nokea
When assessing the neonate's eyes, the nurse notes the following: absence of tears, corneas of unequal size, constriction of the pupils in response to bright light, and the presence of red circles on the pupils on ophthalmic examination. Which of these findings needs further assessment?
- A. The absence of tears.
- B. Comeas of unequal size.
- C. Constriction of the pupils.
- D. The presence of red circles on the pupils.
Correct Answer: B
Rationale: Corneas of unequal size may indicate a congenital anomaly or injury and require further assessment.
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The nurse is reading a pregnant patients history and physical. What information does the nurse recognize might indicate the need for a cesarean delivery? (Select one that does not apply.)
- A. History of childhood rickets
- B. Immobile coccyx
- C. Prepregnant weight of 100 pounds
- D. Pelvic Fracture
Correct Answer: C
Rationale: Pelvic conditions that may predispose to a cesarean delivery are childhood rickets, pelvic fracture, and immobile coccyx. 'E' refers to pelvic fracture 3 years ago.
Which hormone initiates the maturation of the ovarian follicle?
- A. Estrogen
- B. Follicle-stimulating hormone
- C. Progesterone
- D. Luteinizing hormone
Correct Answer: B
Rationale: Follicle-stimulating hormone (FSH) stimulates the maturation of a follicle.
Mother Riza brings her normally developed 3-year old to the clinic for a check-up. The nurse would expect that the child would be at least skilled in...
- A. Riding a bicycle
- B. Tying shoelaces
- C. Stringing large beads
- D. Using blunt scissors
Correct Answer: C
Rationale: Stringing large beads is a fine motor skill expected of a 3-year-old.
How many hours of hospital stay does legislation currently allow for a postpartum patient who has delivered vaginally without complications?
- A. 24
- B. 48
- C. 36
- D. 72
Correct Answer: B
Rationale: Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours; patients who have had a cesarean delivery usually stay 4 days.
Which of the following toys should the nurse recommend for a 5-month-old?
- A. A big red balloon
- B. A teddy bear with button eyes
- C. A push-pull wooden truck
- D. A colorful busy box
Correct Answer: D
Rationale: A busy box facilitates the fine motor development that occurs between 4 and 6 months. Balloons are contraindicated because small children may aspirate balloons. Because the button eyes of a teddy bear may detach and be aspirated, this toy is unsafe for children younger than 3 years. A 5-month-old is too young to use a push-pull toy.