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Author Question: The nurse should be aware that the pinch test is used to: a. Check the sensitivity of the ... (Read 57 times)

CharlieWard

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The nurse should be aware that the pinch test is used to:
 
  a. Check the sensitivity of the nipples.
  b. Determine whether the nipple is everted or inverted.
  c. Calculate the adipose buildup in the abdomen.
  d. See whether the fetus has become inactive.

Question 2

What observation of the preterm infant is indicative of pain?
 
  a. Sleeplessness c. Stable vital signs
  b. Increased oxygen saturation d. Eyes wide open



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ktidd

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Answer to Question 1

B

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A The pinch test is used to determine whether the nipple is everted or inverted. Nipples must be everted to allow breastfeeding.
B The pinch test is used to determine whether the nipple is everted or inverted. Nipples must be everted to allow breastfeeding.
C The pinch test is used to determine whether the nipple is everted or inverted. Nipples must be everted to allow breastfeeding.
D The pinch test is used to determine whether the nipple is everted or inverted. Nipples must be everted to allow breastfeeding.

Answer to Question 2

A
Sleeplessness is a common manifestation of the preterm infant experiencing pain. Due to the stress of pain, the oxygen saturation may decrease. Pain causes transient changes in vital signs. Eyes wide open usually occurs during the alert state, but does not indicate pain.




ktidd

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