A nurse is collecting data from a newborn who has fetal alcohol syndrome. Which of the following manifestations should the nurse (Select all that apply.)

Mongolian spots

Microcephaly

Single palmar crease

Thin upper lip

Small eyes

Answer and Explanation

Correct Answer : B,D,E

A) Mongolian spots: Mongolian spots are common in newborns of Asian, Hispanic, and African descent and are not specifically associated with fetal alcohol syndrome (FAS). These spots are bluish-gray or purple and typically fade over time, but they are not a manifestation of FAS.

B) Microcephaly: Microcephaly, which is an abnormally small head, is a common feature of fetal alcohol syndrome. This condition results from the effects of alcohol on the developing brain during pregnancy, leading to a smaller-than-normal head size.

C) Single palmar crease: A single palmar crease is a common finding in Down syndrome and can occur in other conditions as well, but it is not a hallmark feature of fetal alcohol syndrome. While it may occasionally be seen in infants with FAS, it is not one of the most common or defining characteristics.

D) Thin upper lip: A thin upper lip is one of the hallmark facial features of fetal alcohol syndrome. It is part of the characteristic "facial dysmorphology" seen in FAS, along with other features such as a smooth philtrum

E) Small eyes: Small eyes, or microphthalmia, are also a characteristic feature of fetal alcohol syndrome. This abnormal eye size, along with other facial abnormalities, is often seen in infants affected by FAS.

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Free Nursing Study Resources

Correct Answer is ["30"]

Explanation

To calculate the drip rate, follow these steps:

The client needs to receive 120 mL of lactated Ringer's over 1 hour (60 minutes).
The IV tubing has a drip factor of 15 drops per mL (15 gtt/mL).
Multiply the total volume (120 mL) by the drip factor (15 gtt/mL), which gives 1,800 drops.
Divide this by the total time in minutes (60 minutes).

1,800 drops ÷ 60 minutes = 30 drops per minute (30 gtt/min)

Final Answer:

30 gtt/min

A. I’d like to hear your thoughts about giving yourself this medication B. Have you considered how your decision to refuse medication will affect your family? C. Why don’t you want to learn how give yourself your medication? D. You will suffer serious health issues if you don't take your medication."

Correct Answer is A

Explanation

A) I’d like to hear your thoughts about giving yourself this medication:
This response encourages open communication and allows the client to express their concerns or fears. It shows empathy and provides an opportunity for the nurse to understand the reasons behind the refusal, which can help tailor the teaching approach. This is an effective way to build trust and involve the client in their care plan.

B) Have you considered how your decision to refuse medication will affect your family?
While this statement highlights the consequences of the client’s actions, it can feel judgmental or guilt-inducing, which may cause the client to become defensive. The nurse should aim to engage the client in a non-judgmental and supportive way rather than focusing on external consequences at this stage.

C) Why don’t you want to learn how to give yourself your medication?
This question could come across as confrontational and may make the client feel pressured or defensive. Instead of focusing directly on the refusal, the nurse should try to understand the client's perspective and barriers, which can be better achieved with a more open and empathetic approach like option A.

D) You will suffer serious health issues if you don’t take your medication:
This response may evoke fear and could be perceived as coercive. It focuses on the negative consequences without first understanding the client’s feelings or reasons for refusing. While the nurse should eventually address the importance of insulin, it’s more effective to first create an open dialogue that respects the client’s autonomy and concerns.

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A nurse is collecting data from a newborn who has fetal alcohol syndrome. Which of the following manifestations should the nurse (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["30"]

Explanation

Final Answer:

A nurse is caring for a client who has a new diagnosis of diabetes mellitus and is refusing to learn how to self-administer insulin. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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