The nurse is checking a newborn for the presence of Ortolani maneuver and Barlow sign. For which health problem are these assessments used?

Cleft palate

Tracheoesophageal fistula

Hip dysplasia

Club foot

Answer and Explanation

The Correct Answer is C

A. Cleft palate: The Ortolani maneuver and Barlow sign are not used to assess for cleft palate. A cleft palate is a congenital abnormality of the mouth, not related to hip dysplasia, and is diagnosed through physical examination and imaging of the mouth and face.

B. Tracheoesophageal fistula: Ortolani and Barlow tests are not used to diagnose tracheoesophageal fistula. This condition involves an abnormal connection between the esophagus and trachea and is typically diagnosed through clinical signs, X-rays, or other imaging studies.

C. Hip dysplasia: The Ortolani maneuver and Barlow sign are used to assess for hip dysplasia in newborns. These tests help detect hip instability or dislocation, which is a common congenital condition. Positive findings may indicate the need for further evaluation or treatment, such as a hip ultrasound.

D. Club foot: These maneuvers are not used to assess for clubfoot. Clubfoot involves a deformity of the feet, and diagnosis is made based on physical examination and visual inspection of the feet, not through the Ortolani or Barlow tests.

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Correct Answer is ["4.1"]

Explanation

Convert the client's weight from pounds (lb) to kilograms (kg).

Weight in kg = 48.6 lb / 2.2 lb/kg

= 22.09 kg.

Calculate the total daily desired dose in milligrams (mg).

Total daily desired dose (mg) = Desired dose (mg/kg/day) × Weight (kg)

= 30 mg/kg/day × 22.09 kg

= 662.7 mg/day.

Determine the number of doses per day.

Doses are administered every six hours, so Number of doses per day = 24 hours / 6 hours/dose

= 4 doses/day.

Calculate the dose per administration in milligrams (mg).

Dose per administration (mg) = Total daily desired dose (mg) / Number of doses per day

= 662.7 mg / 4 doses

= 165.675 mg.

Convert the available concentration from grams (g) to milligrams (mg).

Available concentration = 0.2 g/5 mL

1 g = 1000 mg

Available concentration in mg/mL = (0.2 g × 1000 mg/g) / 5 mL

= 200 mg / 5 mL

= 40 mg/mL.

Calculate the volume in milliliters (mL) to administer per dose.

Volume (mL) = Desired dose per administration (mg) / Available concentration (mg/mL)

= 165.675 mg / 40 mg/mL

= 4.141875 mL.

Round the answer to the nearest tenths place.

= 4.1mL

A. Heartburn B. Vaginal bleeding C. Fatigue D. Once daily emesis upon awakening

Correct Answer is B

Explanation

A. Heartburn: Heartburn is a common issue during pregnancy, especially as the pregnancy progresses, due to hormonal changes and pressure from the growing uterus. While uncomfortable, it is not a danger sign requiring immediate medical attention.

B. Vaginal bleeding: Vaginal bleeding is a serious concern during pregnancy, especially in the first and second trimesters. It can indicate complications such as a miscarriage, ectopic pregnancy, or placental abruption. It is important to call the healthcare provider immediately if any vaginal bleeding occurs.

C. Fatigue: Fatigue is a common symptom during pregnancy, particularly in the first and third trimesters, due to hormonal changes, increased blood volume, and the body's efforts to support fetal growth. It is generally not a reason to call the office immediately.

D. Once daily emesis upon awakening: Vomiting, especially in the early stages of pregnancy, is common and may be related to morning sickness. While it can be uncomfortable, occasional vomiting in the morning does not typically require immediate medical attention unless it becomes severe or persistent.

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The nurse is checking a newborn for the presence of Ortolani maneuver and Barlow sign. For which health problem are these assessments used?

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Naxlex Comprehensive Predictor Exams

A nurse is administering 30 mg/kg/day of amoxicillin every six hours to a 48.6 lb client. The concentration available is 0.2 g/5 mL. How many mL will the nurse administer to the client per dose? Round to the nearest tenths place. Record numerical answer only.

Correct Answer is ["4.1"]

Explanation

The nurse is educating a newly pregnant client about danger signs in pregnancy. As part of the education session, the nurse would include which of the following items as a reason to call the office immediately?

Correct Answer is B

Explanation

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