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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Increased physical growth is not directly related to the prevalence of adolescent injuries.
B. Peer pressure can influence adolescents to engage in risky behaviors, leading to an increased risk of injuries.
C. Insufficient psychomotor coordination, particularly during periods of rapid growth, can contribute to the risk of injuries in adolescents.
D. Inexperience, particularly in activities such as driving or sports, can increase the risk of injuries among adolescents.
E. Lack of impulsivity is not typically associated with an increased risk of adolescent injuries.
F. Tiredness and lack of energy may affect overall well-being but are not specifically related to the prevalence of adolescent injuries.
Correct Answer is ["A","D","E"]
Explanation
A. Minimizing fluid loss is important in the care of a neonate with an omphalocele to prevent dehydration.
B. Preventing neonatal weight loss is not directly related to the care of an omphalocele.
C. While monitoring for hyperbilirubinemia is important in neonatal care, it's not specific to the care of an omphalocele.
D. Maintaining perfusion to the exposed abdominal contents is essential for preventing complications such as ischemia or necrosis.
E. Protecting the abdominal contents helps prevent infection and trauma to the exposed organs.

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