Which of the following actions is appropriate for the nurse to take regarding a 9-year-old girl diagnosed with gonorrhea?

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Maternal and Newborn Nursing Questions

Question 1 of 5

Which of the following actions is appropriate for the nurse to take regarding a 9-year-old girl diagnosed with gonorrhea?

Correct Answer: D

Rationale: Gonorrhea in a 9-year-old girl is highly suggestive of sexual abuse, which requires reporting to child protective services.

Question 2 of 5

Which statement best describes the problem of regulation of body temperature in a 3-lb. (1361g) premature infant?

Correct Answer: B

Rationale: Lack of subcutaneous fat contributes to poor thermoregulation.

Question 3 of 5

A neonate born at 34 weeks' gestation and weighing 6lbs, 10oz (2750g) is admitted to the nursery, The vital signs are: apical heart rate 130; respiration 58, BP- 60/20. Temp. 98 degrees F; Apgar score of 4 and 8. The nurse should designate the highest priority health outcomes to be:

Correct Answer: A

Rationale: Oxygenation is critical for pre-term infants.

Question 4 of 5

The nurse is caring for a 12-year-old child hospitalized for internal injuries following a motor vehicle accident. For which medical treatment would the nurse ensure that an informed consent is completed beyond the one signed at admission?

Correct Answer: D

Rationale: Certain procedures, however, require a specific process of informed consent, including major and minor surgery; invasive procedures such as lumbar puncture or bone marrow aspiration; treatments placing the child at higher risk, such as chemotherapy or radiation therapy; procedures or treatments involving research; photography involving children; and applying restraints to children.

Question 5 of 5

After her baby's birth a patient wishes to begin breastfeeding. The nurse assists the client by:

Correct Answer: D

Rationale: The rooting reflex helps initiate breastfeeding.

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