Nokea
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.
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On admission to the nursery, a newborn is observed to be experiencing cold stress. The basis for the nursing intervention at this time would be to minimize:
- A. Shivering
- B. Hyperglycemia
- C. Oxygen consumption
- D. Metabolism of fat stores
Correct Answer: A
Rationale: Shivering increases oxygen demand.
The nurse is assessing a client at 36 weeks' gestation who reports sharp abdominal pain and heavy vaginal bleeding. What condition should the nurse suspect?
- A. Abruptio placentae.
- B. Placenta previa.
- C. Preterm labor.
- D. Chorioamnionitis.
Correct Answer: A
Rationale: Abruptio placentae is characterized by painful bleeding and requires immediate intervention.
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.
The pediatric nurse knows that the children being treated are considered minors. Which statement accurately describes the regulations related to consent for medical treatment?
- A. Children older than age 16 can provide their own consent for, or refusal of, medical procedures.
- B. A guardian ad litem may be appointed by the parents to serve to protect the child's best interests.
- C. Parents ultimately are the decision makers regarding medical treatment for their children younger than the age of 18.
- D. When divorce occurs, the parent with whom the child is living on a daily basis will be granted custody of the child.
Correct Answer: C
Rationale: Parents ultimately are the decision makers for their children. Generally, only persons over the age of majority (18 years of age) can legally provide consent for health care.
What is the nurse's role when preparing a mother for epidural anesthesia?
- A. Monitor the mother's contractions
- B. Ensure the mother has an empty bladder
- C. Ensure the mother is in a supine position
- D. Administer a test dose of the epidural medication
Correct Answer: C
Rationale: Ensuring the bladder is empty helps prevent complications during epidural anesthesia.