A nurse is collecting data from a newborn and notes a swollen area on the head that does not cross the suture line. The nurse should document this finding as which of the following?
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A nurse is collecting data from a client who gave birth one…
A nurse is collecting data from a client who gave birth one week ago. Which of the following findings should the nurse identify as a manifestation of endometritis?
A nurse is collecting data from a newborn who weighs 5,160 g…
A nurse is collecting data from a newborn who weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus. For which of the following data should the nurse monitor?
A nurse is collecting data from a newborn immediately after…
A nurse is collecting data from a newborn immediately after delivery by a client who was at 42 weeks of gestation. Which of the following findings should the nurse expect?
A nurse is caring for a newborn who is small for gestationa…
A nurse is caring for a newborn who is small for gestational age (SGA). Which of the following findings should the nurse expect?
A nurse is assisting a client out of bed for the first time…
A nurse is assisting a client out of bed for the first time since delivery. The client becomes frightened when she passes a large amount of lochia. Which of the following responses should the nurse make?
A nurse is collecting data from a client who is 12 hr postpa…
A nurse is collecting data from a client who is 12 hr postpartum. Which of the following findings should the nurse expect?
A nurse is assisting in the care of a newborn immediately fo…
A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn’s mouth and nose. Which of the following actions should the nurse take first?
A nurse is collecting data from a newborn who has Trisomy 21…
A nurse is collecting data from a newborn who has Trisomy 21. Which of the following findings should the nurse expect? (Select all that apply.)
A nurse is caring for a client who is 36 hr postpartum and h…
A nurse is caring for a client who is 36 hr postpartum and has a distended bladder. The client reports saturating four perineal pads in the past hour. Which of the following actions should the nurse take? (Select all that apply.)