When performing a physical assessment on a neonate, a nurse notes a triangular-shaped soft area that is not yet fused together toward the back of the top of the head. The nurse should
1. Notify the health-care provider.
2. Assess the neonate's vital signs.
3. Document this as a normal assessment finding.
4. Document this as an abnormal assessment finding.
Question 2
A nurse intervenes when he or she observes a student nurse who is caring for a toddler
1. Encourage the toddler to feed herself.
2. Guide the toddler gently if she makes a mistake.
3. Offer the toddler unlimited choices on what time to go to bed.
4. Ask the toddler if she would like to wear the red shirt or the blue shirt.
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