A student nurse has been assigned to the newborn unit for ...

[waynest]

A student nurse has been assigned to the newborn unit for clinical. The student is reviewing information about fontanels. What information does the student nurse include in the preconference presentation on fontanels?
 
  1 . Fontanels allow growth of the infant's head
  2 . Fontanels permit the skull of the infant to change shape
  3 . Fontanels are the firm area of the skull upon palpation
  4 . Fontanels allow the newborn to pass through the birth canal
  A) 1, 2, 3
  B) 1, 2, 4
  C) 1, 3, 4
  D) 2, 3, 4

Question 2

A nurse is caring for a client who has sustained injuries as a result of a car accident. The client is having trouble sleeping and constantly relives the incident. Which is the most appropriate diagnostic statement that the nurse should make?
 
  A) Posttrauma response related to the automobile accident AEB nightmares, insomnia
  B) Client has nightmares, insomnia related to the automobile accident
  C) Client is showing signs of being in a state of shock after automobile accident
  D) Posttrauma response related to automobile accident AEB nightmares. Paxil administered.

[gasdhashg]

Answer to Question 1

B
Feedback:
The newborn's skull is not yet fused, which permits the skull to change shape as it passes through the birth canal and allows growth of the infant's head. The membranous areas between an infant's cranial bones (soft spots) are called fontanels.

Answer to Question 2

A
Feedback:
The first statement is the most appropriate diagnostic statement because it mentions the problem, etiology, and the symptoms in the correct sequence. The second statement does not mention the signs and symptoms experienced by the client. The third statement is not specific and does not mention the problem, etiology, and the symptoms in the correct sequence. The diagnostic statement does not include measures for intervention, and hence the fourth statement is wrong.

[waynest]

TYSM

[vickybb89]

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