A nurse is collecting data from a newborn who has shoulder dystocia. The nurse should identify which of the following findings as an indication of pain?
Lip-smacking
Stiff posture
Weak cry
Tongue-darting
The Correct Answer is C
A. Lip-smacking may indicate hunger or a desire to feed but is not necessarily indicative of pain in a newborn with shoulder dystocia.
B. Stiff posture may indicate discomfort or distress, but it is not specific to pain and can be caused by various factors.
C. A weak cry can be a sign of pain or distress in newborns. It may indicate that the newborn is experiencing discomfort related to the shoulder dystocia.
D. Tongue-darting is a normal reflex in newborns and is not typically associated with pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Insulin aspart: Insulin aspart is a rapid-acting insulin that can be mixed with certain types of insulin, such as NPH insulin, to provide both rapid and intermediate-acting coverage in a single injection.
B. Regular Insulin: Regular insulin is a short-acting insulin that can be mixed with intermediateacting insulins, such as NPH insulin, to provide both short and intermediate-acting coverage in a single injection.
C. Insulin glargine: Insulin glargine is a long-acting insulin that should not be mixed with other insulins due to its pH and precipitation properties.
D. Insulin detemir: Insulin detemir is a long-acting insulin that should not be mixed with other insulins due to its pH and precipitation properties.
E. Insulin lispro: Insulin lispro is a rapid-acting insulin that can be mixed with certain types of insulin, such as NPH insulin, to provide both rapid and intermediate-acting coverage in a single injection
Correct Answer is D
Explanation
A. Anger is characterized by feelings of hostility and frustration, which may arise as the client acknowledges the reality of their situation.
B. Depression involves feelings of sadness, hopelessness, and despair, often occurring as the client comes to terms with the impending loss or changes associated with their condition.
C. Acceptance involves acknowledging and coming to terms with the reality of the situation without resistance or denial.
D. Denial is a defense mechanism where the client refuses to acknowledge the reality of their situation, such as the need for a lengthy recovery period after open heart surgery. The client's statement reflects denial, as they are minimizing the seriousness of the surgery and its impact on their recovery.
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