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A nurse is caring for a 5-year-old client who is postoperative tonsillectomy. Which of the following assessments would lead the nurse to suspect early hemorrhage?

The nurse is caring for a client who delivered vaginally one hour ago, and is suspected of having a small vulvar hematoma.  The nurse is formulating a plan of care. Which nursing intervention specific to vulvar hematoma should the nurse include during the first 12 hours post-partum for this client?

The mother of an infant who has had a cleft lip repair tells the nurse that the surgeon said it was very important not to let the baby cry after surgery.  She asks the nurse “What is the reason for this?” Which is the most appropriate response by the nurse?

A baby is born with an Apgar score of 5 at 1 minute and 7 at 5 minutes.  An hour later the baby exhibits dyspnea, retractions, and grunting.   What is the nurse’s priority intervention for this baby?

The nurse is developing a presentation for clients of child-bearing age about the effects of maternal alcohol usage on an unborn child.  Which of the following should the nurse include? (Select all that apply)

A client in labor has hypotonic labor dysfunction which has been augmented with oxytocin.   After 2 hours, the client is having multiple variable decelerations on the fetal monitor and pain level of 8 out of 10.  Which of the following is the priority intervention for the nurse? 

A ten-month-old client is being assessed by the family health clinic nurse. What type of play activity or toy is appropriate for this client’s expected level of development? (Select all that apply)

A child who has been diagnosed with Tetralogy of Fallot experiences an episode of acute cyanosis.  Which assessment finding would the nurse expect?  

A child has a left femur fracture and is placed in skeletal traction. When planning care, which intervention should the nurse include?  

A parent of an 8-month-old infant tells the nurse the baby recently met his grandparents for the first time, but then says, “He cried and screamed the whole time!”  What is the best response by the nurse?