Mary is a one-month-old infant.

When reviewing Mary's chart, the nurse confirms that at birth, Mary received what vaccine?

MMR.

Varicella.

DTAP.

Hep

Answer and Explanation

The Correct Answer is D

B. This is the vaccine for hepatitis B, a viral infection that can cause liver damage and cancer.
The CDC recommends that all newborns receive the first dose of this vaccine within 24 hours of birth, followed by two more doses at 1 to 2 months and 6 to 18 months of age.
Choice A.
MMR is incorrect, as this is the vaccine for measles, mumps, and rubella, which is not given at birth but at 12 to 15 months and 4 to 6 years of age.
Choice B.
Varicella is incorrect, as this is the vaccine for chickenpox, which is also not given at birth but at 12 to 15 months and 4 to 6 years of age.
Choice C.
DTaP is incorrect, as this is the vaccine for diphtheria, tetanus, and pertussis (whooping cough), which is not given at birth but at 2, 4, 6, and 15 to 18 months and 4 to 6 years of age.
Therefore, choice D is the best answer to this question.

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Correct Answer is C

Explanation

A full bladder can displace the uterus and cause it to deviate to one side.
Choice A is not correct because a temperature of 37.7° C (100° F) is within the normal range for a postpartum client.
Choice B is not correct because the client’s milk production is not related to the findings noted by the nurse.
Choice D is not correct because there is no indication that the client needs an increase in IV fluids.

A. Limited abduction of the affected hip. B. All of the above. C. Symmetry of the hips. D. Shortening of the femur.

Correct Answer is C

Explanation

Symmetry of the hips is a normal finding and is not a sign of developmental hip dysplasia.

Choice A is not correct because limited abduction of the affected hip is a sign of developmental hip dysplasia.
Choice B is not correct because it includes all the other choices.
Choice D is not correct because shortening of the femur can be a sign of developmental hip dysplasia.

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Mary is a one-month-old infant. When reviewing Mary's chart, the nurse confirms that at birth, Mary received what vaccine?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F); pulse rate 88/min; respiratory rate 18/min. Which of the following actions should the nurse perform?

Correct Answer is C

Explanation

The nurse is talking to a parent about signs of developmental hip dysplasia and understands that which of the following is NOT a sign?

Correct Answer is C

Explanation

A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?

The nurse observes Brittny who is hospitalized with Anorexia during meal times for 2 hours after eating due to:

The nurse assesses the initial lochia post-delivery which is known as:

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A nurse is counseling a client diagnosed with bulimia nervosa about the symptom of tooth enamel deterioration. Which explanation for this complication of bulimia nervosa should the nurse provide?

A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery. The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?

A nurse is caring for a client who has been placed in halo traction to immobilize his cervical spine. Which of the following actions should the nurse take?

Mary is a one-month-old infant.

When reviewing Mary's chart, the nurse confirms that at birth, Mary received what vaccine?