Answer to Question 1
4, 5, 2, 1, 3
Rationale: The REEDA scale helps the nurse remember to consider all of these signs of perineum healing while performing a perineal check.
Answer to Question 2
D
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A The usual sequence of secondary sexual characteristic development in girls is
breast changes, rapid increase in height and weight, growth of pubic hair,
appearance of axillary hair, menstruation, and abrupt deceleration of linear
growth.
B The usual sequence of secondary sexual characteristic development in girls is
breast changes, rapid increase in height and weight, growth of pubic hair,
appearance of axillary hair, menstruation, and abrupt deceleration of linear
growth.
C The usual sequence of secondary sexual characteristic development in girls is
breast changes, rapid increase in height and weight, growth of pubic hair,
appearance of axillary hair, menstruation, and abrupt deceleration of linear
growth.
D In most girls, the initial indication of puberty is the appearance of breast buds, an
event known as thelarche.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Glasgow Coma Scale
Test for Depressive Symptoms: CED Scale
Greet a First-Time Client With a Firm Handshake.
Testing the client’s ability to feel vibrations, the knee