Answer to Question 1
B, C
Feedback:
The newborn is in the second period of reactivity, which begins as the newborn awakens and shows an interest in environmental stimuli. This period lasts 2 to 8 hours in the normal newborn (Boxwell, 2010). Heart and respiratory rates increase. Peristalsis also increases. Thus, it is not uncommon for the newborn to pass meconium or void during this period. In addition, motor activity and muscle tone increase in conjunction with an increase in muscular coordination. Spontaneous Moro reflexes are noted during the first period of reactivity. Sleeping and difficulty arousing the newborn reflect the period of decreased responsiveness.
Answer to Question 2
A
Feedback:
For placenta previa, the nurse should attach external monitoring equipment to record fetal heart sounds and uterine contractions. Internal pressure gauges to measure uterine contractions are contraindicated. A pelvic or rectal examination should never be done with painless bleeding late in pregnancy because any agitation of the cervix when there is a placenta previa might tear the placenta further and initiate massive hemorrhage, which could be fatal to both mother and child. To ensure an adequate blood supply to the patient and fetus, the patient should be placed immediately on bed rest in a side-lying position.
Assessing a person's spiritual and religious beliefs is an imiportant aspect of nursing care
The nurse assesses the patient's ability to use the walker correctly
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Nurse opens sterile package
To check pupillary reflexes the nurse first holds the penlight
Algorithm for assessing/screening sleep disorders in adults.