A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.
asymmetrical movement
bruising over area
edema present
facial grimacing with movement
positive Babinski reflex
Correct Answer : A,B,C,D
A. Asymmetrical movement may indicate discomfort or restricted mobility due to a fractured clavicle.
B. Bruising over the area of the clavicle may suggest trauma and could be associated with a fracture.
C. Edema (swelling) over the fractured clavicle may be present due to inflammation and tissue injury.
D. Facial grimacing with movement could indicate pain or discomfort associated with a fractured clavicle.
E. A positive Babinski reflex is unrelated to a fractured clavicle and would not be directly assessed for this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E","F"]
Explanation
A. Health supervision includes optimizing the child's physical, emotional, and developmental well-being to ensure the child reaches their maximum level of functioning.
B. This involves evaluating the effectiveness and safety of the care delivered by the healthcare team and ensuring that it meets the standards and guidelines of evidence- based practice.
C. Making referrals for all healthcare needs may not be feasible or necessary for every child in a healthcare provider's office.
D. Monitoring disease incidence is part of public health surveillance but may not be a primary focus of health supervision within a healthcare provider's office.
E. Teaching parents to prevent injury is an important aspect of health supervision, promoting safety and well-being for children.
F. Providing care developed from national guidelines ensures evidence-based practice and standardization of care across healthcare settings.
Correct Answer is ["A","D","E"]
Explanation
A. Minimizing fluid loss is important in the care of a neonate with an omphalocele to prevent dehydration.
B. Preventing neonatal weight loss is not directly related to the care of an omphalocele.
C. While monitoring for hyperbilirubinemia is important in neonatal care, it's not specific to the care of an omphalocele.
D. Maintaining perfusion to the exposed abdominal contents is essential for preventing complications such as ischemia or necrosis.
E. Protecting the abdominal contents helps prevent infection and trauma to the exposed organs.
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