The nurse is performing a physical examination on a sleeping newborn. Which body system should the nurse examine last?
Heart
Abdomen
Lungs
Throat
The Correct Answer is D
A. Heart: The heart can be assessed while the newborn is calm or asleep to obtain an accurate heart rate and rhythm. Auscultating early avoids startling the infant, allowing for a more reliable assessment.
B. Abdomen: The abdomen should be examined while the newborn is relaxed, as palpation can disturb or wake the baby. Performing this assessment early ensures accurate findings without excessive movement or crying.
C. Lungs: The lungs can be auscultated while the newborn is sleeping to hear clear, unobstructed breath sounds. A quiet, sleeping state minimizes crying, which can interfere with accurate assessment.
D. Throat: The throat examination should be performed last because it involves handling the mouth and airway, which typically awakens or irritates the newborn. This can lead to crying and distress, making it harder to assess other systems afterward.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["125"]
Explanation
Determine the total infusion time in hours.
Infusion starts at 2330 (11:30 PM).
Infusion ends at 0730 (7:30 AM).
Time from 2330 to 2400 (midnight):
24:00−23:30 =0hr30min
=0.5hr
Time from 2400 (midnight) to 0730:
7hr30min =7.5hr
Total Infusion Time (hr) = 8 hrs
Calculate the infusion rate in milliliters per hour (mL/hr).
Total Volume: 1000 mL
Total Time: 8hr
Infusion rate (mL/hr) = Total volume (mL) / Total time (hr)
= 1000mL/8hr
= 125mL/hr.
Correct Answer is B
Explanation
A. Amenorrhea: Uterine fibroids are more commonly associated with menorrhagia (heavy bleeding) or metrorrhagia (irregular bleeding) rather than amenorrhea. Fibroids cause increased uterine lining surface area and vascular congestion, leading to excessive rather than absent menstrual flow.
B. Chronic pelvic pain: Chronic pelvic pain or a feeling of pelvic pressure is a classic symptom of uterine fibroids. The enlarging fibroids can compress surrounding structures, causing discomfort, lower abdominal fullness, and sometimes radiating pain to the lower back or thighs.
C. Upper back pain: Fibroids are located in the uterus, within the pelvic cavity, and are unlikely to cause upper back pain. Pain from fibroids typically presents in the lower abdomen or pelvis due to localized pressure.
D. Diarrhea: Gastrointestinal symptoms like diarrhea are not typically associated with fibroids. If present, bowel symptoms are more likely due to large fibroids exerting pressure on the rectum, leading to constipation rather than increased bowel motility.
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