Questions With Accurate Solutions
Rated A+
When assessing a gross motor development in a 3-year-old, which of the following
activities would the nurse expect to find?
a. Riding a tricycle
b. Catching a ball
c. Skipping on alternate foot
d. Hopping on one foot - SOLVED ANSWER-a. Riding a tricycle
- Riding a tricycle is appropriate for 3 y/o child.
- Hopping on one foot, and catching and throwing a ball overhand can be done by 4 y/o
- Skipping can be done by a 5 y/o
Nursing care after delivery has an important aspect in every stage of delivery. After the
baby is delivered, the cord was cut between 2 clamps using a sterile scissors and blade,
then the baby is placed at the:
a. Baby's own mat or bed
b. Mother's side
c. Give it to the grandmother
d. Mother's breast - SOLVED ANSWER-d. Mother's breast
- Place it at the mother's breast for latch-on (Note: for NSD breast feed ASAP while for
CS delivery breast feed after 4 hours)
, When assessing a newborn with cleft lip, the nurse would be alert which of the following
will most likely be compromised?
a. GI function
b. Respiratory status
c. Sucking ability
d. Locomotion - SOLVED ANSWER-c. Sucking ability
- Because of the defect, the child will be unable to form the mouth adequately around
the nipple thereby requiring special devices to allow feeding and sucking
- Respiratory status may be compromised when the child is fed improperly or during
post op period.
The physician calls the nursing unit to leave an order. The senior nurse had
conversations with the other staff. The newly hired nurse answers the phone so that the
senior nurses may continue their conversation. The new nurse does not know the
physician or the client to whom the order pertains. The nurse should:
a. Ask the physician to call back after the nurse has read the hospital policy manual
b. Ask the charge nurse or one of the other senior staff nurses to take the telephone
order.
c. Refuse to take the telephone order
d. Take the telephone order - SOLVED ANSWER-b. Ask the charge nurse or one of the
other senior staff nurses to take the telephone order.
- Get a senior nurse who knows the policies, the client, and the doctor. Generally
speaking, a nurse should not accept telephone orders. However, it is necessary to take
one, follow the hospital's policy regarding telephone orders. Failure to follow hospital
policy could be considered negligence. In this case, the nurse was new and did not
know the hospital's policy concerning telephone orders. The nurse was also unfamiliar
with the doctor and the client. Therefore, the nurse should not take the order unless a)
no one else is available b) it is an emergency situation