Nokea
Which of the following nursing diagnoses would be inappropriate for the infant with gastroesophageal reflux (GER)?
- A. Fluid volume deficit
- B. Risk for aspiration
- C. Altered nutrition: less than body requirements
- D. Altered oral mucous membranes
Correct Answer: D
Rationale: GER is the backflow of gastric contents into the esophagus resulting from relaxation or incompetence of the lower esophageal (cardiac) sphincter. No alteration in the oral mucous membranes occurs with this disorder.
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What is the total number of chromosomes contained in a mature sperm or ovum?
- A. 22
- B. 23
- C. 44
- D. 46
Correct Answer: B
Rationale: Gametes (sex chromosomes) contain 23 chromosomes.
An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
- A. Maternal and infant deaths per 100,000 live births per year
- B. Deaths of fetuses weighing more than $500 \mathrm{~g}$ per 10,000 births per year
- C. Deaths of infants up to 1 year of age per 1000 live births per year
- D. Fetal and neonatal deaths per 1000 live births per year
Correct Answer: D
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
The nurse is aware that a full-term infant is born with which reflexes? (Select one that does not apply.)
- A. Blinking
- B. Sneezing
- C. Gagging
- D. Pincer grasp
Correct Answer: D
Rationale: Blinking, sneezing, gagging, and sucking reflexes are present in the full-term newborn. Pincer grasp does not occur until between 8 and 12 months.
The normal volume of amniotic fluid is approximately __ $\mathrm{mL}$ at 37 weeks gestation.
- A. 500
- B. 750
- C. 1000
- D. 1250
Correct Answer: C
Rationale: The volume of amniotic fluid steadily increases from about $30 \mathrm{~mL}$ at 10 weeks of pregnancy to $350 \mathrm{~mL}$ at 20 weeks. The volume of fluid is about $1000 \mathrm{~mL}$ at 37 weeks.
The first White House Conference on Children and Youth was called by President __
- A. Theodore Roosevelt
- B. Franklin Roosevelt
- C. Woodrow Wilson
- D. Herbert Hoover
Correct Answer: A
Rationale: Theodore Roosevelt called the first White House Conference in 1909.