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A 48-hour-old newborn girl develops bilious emesis and refuses to breastfeed. She was born via C-section at 38 weeks due to nonreassuring fetal heart rates to a primigravid mother who received inconsistent prenatal care. Prior to the vomiting, the neonate was voiding urine normally but has not yet passed her first stool. The patient’s mother states she has no significant medical history but that her father died from pneumonia at the age of 44. The patient’s vitals are stable and within normal limits. Examination shows abdominal distension with palpable intestinal loops. Rectal examination shows normal tone and no stool in the rectal vault. X-ray of the abdomen shows air-fluid levels and small bowel dilation, suggesting a ileus. Which of the following is the most likely cause of this newborn’s condition?  

One of the students in a nutrition class asks the nurse to explain the Acceptable Macronutrient Distribution Ranges (AMDRs). How will the nurse best respond?

Match the genetic term to the MOST appropriate definition

Which of the following might be used to treat chest pain?

The patient brings their consumer genetic testing results to the NP. The patient, age 72 years old, has two copies of the ε4 allele on the apolipoprotein E (APOE) locus, and the company states this increases the patient’s risk for Alzheimer disease.  Assessment shows normal cognitive functioning and no neurological or memory deficits.  The NP could document the patient has a: 

During the start of the trimester we watched and read Marie Howe’s “Singularity.” Today you will revisit this poem and write a reflection regarding how you view the poem now after taking this course. Please read or watch (I suggest this method) the poem once again before responding to ONE of the prompts below in an at minimum 10 sentence paragraph. You, however, may choose to organize your thoughts however you’d like.    Singularity Text Singularity Video   PROMPT A: How has your perspective shifted from the first time you watched/read “Singularity” to now? What specifically do you understand, know, or sense differently from your initial viewing/reading? In your response you must include reference to TWO elements and three texts, including quotation evidence in your writing.  PROMPT B: Choose one line from the poem that you believe best relates to your synthesized understanding of the content from the seminar. Explain how the line relates to the texts we read and studied together. In your response you must include reference to TWO elements and three texts, including quotation evidence in your writing.  Rubric Content: The response thoroughly answers the questions, including elements, texts, and quotations.  Grammar/Mechanics: Syntax is sound, without fragments or run-ons. Quotations are properly integrated. Remember to refer to the author or speaker. Recall, too, that essays and poems are in quotation marks.    Thank you for being wonderful students! Grateful for you! 

The community health nurse leader is providing annual education on Healthy People 2030 for local nurses. Which is the best explanation of the program’s goals?

The NP’s patient has Down Syndrome. The most common cause of this disorder is: 

The BRCA1 and BRCA2 mutations have greatest increase on which of the following cancer risks in women?

Cyclin dependent kinases (CDKs) maintain genomic integrity through which of the following mechanisms?