The nurse is admitting a child to the hospital for a cardiac ...

[mia]

The nurse is admitting a child to the hospital for a cardiac workup. What is the first step in a cardiac assessment?
 
  a. Percussion
  b. Palpation
  c. Auscultation
  d. History and inspection

Question 2

What finding on a prenatal visit at 10 weeks might suggest a hydatidiform mole?
 
  a. Complaint of frequent mild nausea
  b. Blood pressure of 120/80 mm Hg
  c. Fundal height measurement of 18 cm
  d. History of bright red spotting for 1 day, weeks ago

[ryrychapman11]

Answer to Question 1

D
Feedback
A Percussion of the chest is usually deferred.
B Palpation can be threatening to the child because it requires a significant amount
of physical contact. For this reason it is not the initial step in a cardiac
assessment.
C Auscultation requires touching the child and is not the initial step in a cardiac
assessment.
D The assessment should begin with the least threatening interventionsthe
history and inspection. Assessment progression includes inspection, auscultation,
and palpation because each step includes more touching.

Answer to Question 2

C
Feedback
A Nausea increases in a molar pregnancy because of the increased production of
hCG.
B A woman with a molar pregnancy may have early-onset pregnancy-induced
hypertension.
C The uterus in a hydatidiform molar pregnancy is often larger than would be
expected on the basis of the duration of the pregnancy.
D The history of bleeding is normally described as being brownish.

[mia]

Excellent

[emsimon14]

TYSM