A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

asymmetrical movement

bruising over area

edema present

facial grimacing with movement

positive Babinski reflex

Answer and Explanation

Correct Answer : A,B,C,D

A.   Asymmetrical movement may indicate discomfort or restricted mobility due to a fractured clavicle.
B.   Bruising over the area of the clavicle may suggest trauma and could be associated with a fracture.
C.   Edema (swelling) over the fractured clavicle may be present due to inflammation and tissue injury.
D.   Facial grimacing with movement could indicate pain or discomfort associated with a fractured clavicle.
E.   A positive Babinski reflex is unrelated to a fractured clavicle and would not be directly assessed for this condition.

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Correct Answer is C

Explanation

A. This statement doesn't demonstrate understanding of appropriate feeding practices for a 5-month-old.
B. While pureeing food is a method of introducing solid foods, it doesn't specifically address the appropriate consistency or type of food.
C. Introducing cereal with a thin consistency is appropriate as a first solid food for a 5-month-old.
D. Starting with baby oatmeal cereal mixed with low-fat milk may not be appropriate as cow's milk is not recommended before the age of 1.

A. Ask other Asians to explain their culture. B. Hire an interpreter to explain the family culture. C. Just ask the family about their culture and listen. D. Research the culture and base care on findings.

Correct Answer is C

Explanation

A. Assuming all Asians have the same culture is a generalization and may not accurately represent the specific cultural background of the family in question.
B. Hiring an interpreter may be helpful for language translation but may not provide insights into the nuances of the family's cultural beliefs and practices.
C. Directly engaging with the family and listening to their perspectives allows for a better understanding of their specific cultural beliefs and preferences.
D. While research can provide valuable information, direct communication with the family is essential for truly understanding their cultural needs and preferences.

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A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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