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135 missed terms
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1 of 135
Term
A nurse is performing postoperative care on a child with a ureteral
stent. Which intervention will help manage bladder spasms?
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Creatinine clearance level Apply moist heat to the flank area.
, Encourage high fluid intake. Monitor for hematuria.
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2 of 135
Term
The nurse is caring for a 7-week-old scheduled for a pyloromyotomy in
24 hours. Which would the nurse expect to find in the plan of care?
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Allow the infant to eat solid foods; no Start oral feeding immediately;
need for intravenous fluids. monitor for any signs of distress.
Keep infant NPO; begin
intravenous fl uids at Discharge the infant home; no further
maintenance; place nasogastric care needed before surgery.
tube (NGT) to low wall suction.
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3 of 135
Term
,At birth, the infant has dry, cracked skin, absence of vernix, lack of
subcutaneous fat, fingernail extending beyond the fingertips, and poor
skin turgor. Based on these findings, how would the nurse would
classify this neonate?
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full term late preterm
postterm preterm
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4 of 135
Term
What is a consequence of hypothermia in a newborn?
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holds breath 25 seconds
Explanation:
Apnea is the cessation of breathing for a specific amount of time, and in
newborns it usually occurs when the breath is held for 15 seconds. Apnea,
cyanosis, respiratory distress, and increased oxygen demand are all
consequences of hypothermia.
, Solid food can be introduced at 4 to 6 months of age.
nasal flaring
Nasal flaring is a sign of respiratory distress. Infants with hypothermia show signs of
respiratory distress (cyanosis, increased respirations, low oxygen saturation, nasal
flaring, and grunting).
bright red, raised bumpy area noted above the right eye
A red bumpy area noted above the right eye is a hemangioma and needs further
investigation to determine whether the hemangioma could interfere with the infant's
vision.
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5 of 135
Term
The nurse is caring for an infant diagnosed with Hirschsprung disease.
The mother states she is pregnant with a boy and wants to know if her
new baby will likely have the disorder. Which is the nurse ' best
response?
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"We will fold down the front of her diaper under the umbilical cord until it falls off."