The nurse assessing the premature infant would expect to observe: (Select all that apply.)
a. Firm muscle tone
b. When lying in prone position, the pelvis is low with the hips flexed and abducted
c. When lying in the supine position, the limbs are flexed
d. The hand can reach well past the point of the shoulder (acromion)
e. The knees are drawn up under the abdomen when placed on the stomach
Question 2
A child is brought to the emergency department with burns on the face and chest. The nurse's first priority is:
a. Assessing respiratory status
b. Administering pain medication
c. Removing clothing
d. Inserting a Foley catheter
The nurse needs to note the source of the patient health history
To check pupillary reflexes the nurse first holds the penlight
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