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Question 1 

When assessing the risk of a newborn for sudden infant death syndrome (SIDS), which are risk factors that the nurse should consider? Select all that apply.
A) Father's age
B) Race
C) Age
D) Gender
E) Eye color

Answer

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Question 2 

The nurse is working in a primary care setting. Which clients should the nurse identify as being at high risk for influenza or its complications? Select all that apply.
A) A 25-year-old pregnant woman at 20 weeks' gestation
B) A 65-year-old woman
C) A 3-year-old with cystic fibrosis
D) A 35-year-old man with a severe allergy to eggs
E) A 20-year-old healthcare worker

Answer

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Question 3 

The nurse caring for newborns with congenital disorders recognizes that which of the following infants will require several surgical repairs to resolve the problem and give the infant the best outcome?
 
  A) the newborn with tetralogy of Fallot B) the newborn with a coarctation of the aorta C) the newborn with a patent ductus arteriosus D) the newborn with a ventricular septal defect

Answer

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Question 4 

The nurse is caring for a newly-admitted infant diagnosed with failure to thrive. The nurse begins to implement the healthcare provider prescribed orders by taking blood pressures in all four extremities.
 
  Which congenital cardiac defect does the nurse anticipate based on the prescribed order?
  1. Tetralogy of Fallot
  2. Pulmonary atresia
  3. Coarctation of the aorta
  4. Ventricular septal defect

Answer

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Question 5 

The nurse is providing care to a newborn during the first 24 hours of life. Which is an abnormal finding?
A) Presence of meconium stool
B) Respiratory rate of 58 breaths per minute
C) Heart rate of 140 beats per minute
D) Yellowing of the skin

Answer

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Question 6 

The nurse is providing discharge teaching to a client recently been diagnosed with HIV. The nurse knows the client has understood the instructions when he states that a goal of HIV pharmacotherapy is to:
 
  Standard Text: Select all that apply.
  1. prevent HIV-related morbidity.
  2. prolong survival.
  3. restore and preserve immunologic function.
  4. increase viral load.
  5. eliminate the potential for transmission from mother to child in pregnant clients who have HIV infection.

Answer

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Question 7 

The nurse is providing discharge instructions to the new mother, and tells her to call her provider if lochia is:
1. Still bright red on day two after delivery.
2. Brownish to dark red on day three or four after delivery.
3. White to yellow in color for about four weeks.
4. Returning to bright red after becoming yellow in color.

Answer

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Question 8 

The nurse is providing discharge instructions to the mother of a child admitted for fever of unknown origin. Which of the following statements, if made by the mother, would indicate the need for further instruction?
1. “I should use Tylenol or aspirin to bring down the temperature.”
2. “I should contact the doctor if I cannot wake up my child.”
3. “I should observe how much my child urinates.”
4. “I should monitor my child’s intake of fluids throughout the day.”

Answer

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Question 9 

When providing discharge instructions regarding circumcision care, the nurse would identify a need for further teaching when the mother says:
 
  a. I'll make sure to clean away any clear filmy substance that forms on the penis.
  b. If any bleeding occurs I'll hold gentle pres-sure on the area and call the pediatrician if it continues.
  c. When doing cord care, I'll be careful to avoid any alcohol draining to the circumcision site.
  d. I will continue to apply petroleum jelly for a few days to prevent the site from adhering to the diaper.

Answer

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Question 10 

The nurse receives shift change report on infants born within the last 4 hours. Which newborn should the nurse assess first?
A) Term newborn born 1 hour ago who is exhibiting grunting respirations.
B) Term newborn born yesterday. Heart rate is 150 beats per minute.
C) Newborn born at 37 weeks gestation. Respiratory rate of 45 breaths per minute.
D) Term newborn, 2 hours old, who has not passed a meconium stool.

Answer

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