A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?

Notify social services.

Ask the parents what caused the bruises.

Ask the toddler what caused the bruises.

Notify the provider.

Answer and Explanation

The Correct Answer is B

A. Notify social services – Not the first action; the nurse must assess the situation before reporting.
B. Ask the parents what caused the bruises – Correct; gathering information helps differentiate normal bruising from possible abuse.
C. Ask the toddler what caused the bruises – Not the best initial approach, as toddlers may not provide reliable explanations.
D. Notify the provider – Appropriate but should come after assessing the situation.

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Correct Answer is A

Explanation

A. "We are looking for increases in fetal heart rate of 15/min for at least 15 seconds. This means the baby is doing well." – Correct; a reactive NST shows at least two accelerations of 15 bpm lasting at least 15 seconds within 20 minutes, indicating fetal well-being.
B. "We will draw blood to evaluate the baby's risk of genetic problems." – Incorrect; an NST does not involve blood work; genetic testing is done through amniocentesis or blood screening.
C. "I am looking at the ultrasound to see if the baby has any congenital anomalies." – Incorrect; an NST does not evaluate congenital anomalies; an ultrasound or amniocentesis would be used for that.
D. "If the baby moves 5 times in 15 minutes, then the baby is healthy." – Incorrect; fetal movement is assessed with kick counts, not an NST.

A. "Epidurals are best because they provide complete pain relief." B. "Most women need IV pain medications at some point during labor." C. "It is best to learn about the different types of pain relief available, as every woman experiences labor pain differently." D. "There is no one best way. However, natural childbirth is best for the baby."

Correct Answer is C

Explanation

A. "Epidurals are best because they provide complete pain relief." – Incorrect; while epidurals provide significant pain relief, they may not be the best option for every client.
B. "Most women need IV pain medications at some point during labor." – Incorrect; pain management is individualized, and not all women require IV pain medication.
C. "It is best to learn about the different types of pain relief available, as every woman experiences labor pain differently." – Correct; pain relief options should be tailored to the individual's preferences and medical condition.
D. "There is no one best way. However, natural childbirth is best for the baby." – Incorrect; while natural childbirth is an option, it is not necessarily the best choice for everyone.

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A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with a nonstress test (NST) on a client who is at 36 weeks of gestation and asks "What are you looking for during this test?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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