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Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

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250 questions, answers, and explanations are offered in this sample exam from the 2013 edition of NCLEX-RN Exam Cram.

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  • A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Body temperature of 99°F or less

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Toes moved in active range of motion

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Sensation reported when soles of feet are touched

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Capillary refill of < 3 seconds

    Quick Answer: 223

    Detailed Answer: 225

  • A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Side-lying with knees flexed

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Knee-chest

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    High Fowler’s with knees flexed

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Semi-Fowler’s with legs extended on the bed

    Quick Answer: 223

    Detailed Answer: 225

  • A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Taking hourly blood pressures with mechanical cuff

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Encouraging fluid intake of at least 200mL per hour

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Position in high Fowler’s with knee gatch raised

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Administering Tylenol as ordered

    Quick Answer: 223

    Detailed Answer: 225

  • Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Steak

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Cottage cheese

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Popsicle

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Lima beans

    Quick Answer: 223

    Detailed Answer: 225

  • A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse’s assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Adjust the room temperature

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Give a bolus of IV fluids

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Start O2

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Administer meperidine (Demerol) 75mg IV push

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Roast beef, gelatin salad, green beans, and peach pie

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Chicken salad sandwich, coleslaw, French fries, ice cream

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Pork chop, creamed potatoes, corn, and coconut cake

    Quick Answer: 223

    Detailed Answer: 225

  • Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    A family vacation in the Rocky Mountains

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Chaperoning the local boys club on a snow-skiing trip

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Traveling by airplane for business trips

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    A bus trip to the Museum of Natural History

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Enlarged spleen

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Elevated blood pressure

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Bradycardia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Beefy tongue

    Quick Answer: 223

    Detailed Answer: 225

  • The body part that would most likely display jaundice in the dark-skinned individual is the:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Conjunctiva of the eye

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Soles of the feet

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Roof of the mouth

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Shins

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    BP 146/88

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Respirations 28 shallow

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Weight gain of 10 pounds in six months

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Pink complexion

    Quick Answer: 223

    Detailed Answer: 226

  • The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    “I will drink 500mL of fluid or less each day.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    “I will wear support hose.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    “I will check my blood pressure regularly.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    “I will report ankle edema.”

    Quick Answer: 223

    Detailed Answer: 226

  • A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The client collects stamps as a hobby.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The client recently lost his job as a postal worker.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The client had radiation for treatment of Hodgkin’s disease as a teenager.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The client’s brother had leukemia as a child.

    Quick Answer: 223

    Detailed Answer: 226

  • Where is the best site for examining for the presence of petechiae in an African American client?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The abdomen

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The thorax

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The earlobes

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The soles of the feet

    Quick Answer: 223

    Detailed Answer: 226

  • The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    “Have you noticed a change in sleeping habits recently?”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    “Have you had a respiratory infection in the last six months?”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    “Have you lost weight recently?”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    “Have you noticed changes in your alertness?”

    Quick Answer: 223

    Detailed Answer: 226

  • Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Oral mucous membrane, altered related to chemo-therapy

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Risk for injury related to thrombocytopenia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Fatigue related to the disease process

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Interrupted family processes related to life-threatening illness of a family member

    Quick Answer: 223

    Detailed Answer: 226

  • A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Sexual dysfunction related to radiation therapy

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Anticipatory grieving related to terminal illness

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Tissue integrity related to prolonged bed rest

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Fatigue related to chemotherapy

    Quick Answer: 223

    Detailed Answer: 226

  • A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Platelet count

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    White blood cell count

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Potassium levels

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Partial prothrombin time (PTT)

    Quick Answer: 223

    Detailed Answer: 226

  • The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80,000. It will be most important to teach the client and family about:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Bleeding precautions

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Prevention of falls

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Oxygen therapy

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Conservation of energy

    Quick Answer: 223

    Detailed Answer: 226

  • The client has surgery for removal of a Prolactinoma. Which of the following interventions would be appropriate for this client?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Place the client in Trendelenburg position for postural drainage.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Encourage coughing and deep breathing every two hours.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Elevate the head of the bed 30°.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Encourage the Valsalva maneuver for bowel movements.

    Quick Answer: 223

    Detailed Answer: 226

  • The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Measure the urinary output.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Check the vital signs.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Encourage increased fluid intake.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Weigh the client.

    Quick Answer: 223

    Detailed Answer: 227

  • A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Place the client in a sitting position.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Administer acetaminophen (Tylenol).

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Pinch the soft lower part of the nose.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Apply ice packs to the forehead.

    Quick Answer: 223

    Detailed Answer: 227

  • A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The blood pressure

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The temperature

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The urinary output

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The specific gravity of the urine

    Quick Answer: 223

    Detailed Answer: 227

  • A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Glucometer readings as ordered

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Intake/output measurements

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Evaluating the sodium and potassium levels

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Daily weights

    Quick Answer: 223

    Detailed Answer: 227

  • A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Obtain a crash cart.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Check the calcium level.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Assess the dressing for drainage.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Assess the blood pressure for hypertension.

    Quick Answer: 223

    Detailed Answer: 227

  • A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Impaired physical mobility related to decreased endurance

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Hypothermia r/t decreased metabolic rate

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Disturbed thought processes r/t interstitial edema

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Decreased cardiac output r/t bradycardia

    Quick Answer: 223

    Detailed Answer: 227

  • The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Report muscle weakness to the physician.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Allow six months for the drug to take effect.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Take the medication with fruit juice.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Report difficulty sleeping.

    Quick Answer: 223

    Detailed Answer: 227

  • The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Utilize an infusion pump.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Check the blood glucose level.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Place the client in Trendelenburg position.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Cover the solution with foil.

    Quick Answer: 223

    Detailed Answer: 227

  • The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Blood pressure of 126/80

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Blood glucose of 110mg/dL

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Heart rate of 60bpm

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Respiratory rate of 30 per minute

    Quick Answer: 223

    Detailed Answer: 227

  • The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Replenish his supply every three months.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Take one every 15 minutes if pain occurs.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Leave the medication in the brown bottle.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Crush the medication and take with water.

    Quick Answer: 223

    Detailed Answer: 228

  • The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Macaroni and cheese

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Shrimp with rice

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Turkey breast

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Spaghetti with meat sauce

    Quick Answer: 223

    Detailed Answer: 228

  • The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Feet

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Neck

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Hands

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Sacrum

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Phlebostatic axis

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    PMI

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Erb’s point

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Tail of Spence

    Quick Answer: 223

    Detailed Answer: 228

  • The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Question the order.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Administer the medications.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Administer separately.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Contact the pharmacy.

    Quick Answer: 223

    Detailed Answer: 228

  • The best method of evaluating the amount of peripheral edema is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Weighing the client daily

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Measuring the extremity

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Measuring the intake and output

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Checking for pitting

    Quick Answer: 223

    Detailed Answer: 228

  • A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Overnight stays by family members is against hospital policy.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    There is no need for him to stay because staffing is adequate.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    His wife will rest much better knowing that he is at home.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Visitation is limited to 30 minutes when the implant is in place.

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Roast beef sandwich, potato chips, pickle spear, iced tea

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Split pea soup, mashed potatoes, pudding, milk

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Tomato soup, cheese toast, Jello, coffee

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Hamburger, baked beans, fruit cup, iced tea

    Quick Answer: 223

    Detailed Answer: 228

  • The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    “I will make sure I eat breakfast within 10 minutes of taking my insulin.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    “I will eat a snack around three o’clock each afternoon.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 223

    Detailed Answer: 229

  • The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    New parents need time to learn how to hold the baby.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The umbilical cord needs time to separate.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Newborn skin is easily traumatized by washing.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The chance of chilling the baby outweighs the benefits of bathing.

    Quick Answer: 223

    Detailed Answer: 229

  • A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Treat iron-deficiency anemia caused by chemotherapeutic agents

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Create a synergistic effect that shortens treatment time

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Increase the number of circulating neutrophils

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Reverse drug toxicity and prevent tissue damage

    Quick Answer: 223

    Detailed Answer: 229

  • A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Hib titer

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Mumps vaccine

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Hepatitis B vaccine

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    MMR

    Quick Answer: 223

    Detailed Answer: 229

  • The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    30 minutes before a meal

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    With each meal

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    In a single dose at bedtime

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    30 minutes after meals

    Quick Answer: 223

    Detailed Answer: 229

  • A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Call security for assistance and prepare to sedate the client.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Tell the client to calm down and ask him if he would like to play cards.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Tell the client that if he continues his behavior he will be punished.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Leave the client alone until he calms down.

    Quick Answer: 223

    Detailed Answer: 229

  • When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Check the client for bladder distention.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Assess the blood pressure for hypotension.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Determine whether an oxytocic drug was given.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Check for the expulsion of small clots.

    Quick Answer: 223

    Detailed Answer: 229

  • A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Pneumonia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Reaction to antiviral medication

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Tuberculosis

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Superinfection due to low CD4 count

    Quick Answer: 223

    Detailed Answer: 229

  • The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Diabetes

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Prinzmetal’s angina

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Cancer

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Cluster headaches

    Quick Answer: 223

    Detailed Answer: 229

  • The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Pain on flexion of the hip and knee

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Nuchal rigidity on flexion of the neck

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Pain when the head is turned to the left side

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Dizziness when changing positions

    Quick Answer: 223

    Detailed Answer: 229

  • The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Agnosia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Apraxia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Anomia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Aphasia

    Quick Answer: 223

    Detailed Answer: 229

  • The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Chronic fatigue syndrome

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Normal aging

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Sundowning

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Delusions

    Quick Answer: 223

    Detailed Answer: 230

  • The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    “You know you had breakfast 30 minutes ago.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    “I’ll get you some juice and toast. Would you like something else?”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    “You will have to wait a while; lunch will be here in a little while.”

    Quick Answer: 223

    Detailed Answer: 230

  • The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Urinary incontinence

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Headaches

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Confusion

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Nausea

    Quick Answer: 223

    Detailed Answer: 230

  • A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Document the finding.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Report the finding to the doctor.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Prepare the client for a C-section.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Continue primary care as prescribed.

    Quick Answer: 223

    Detailed Answer: 230

  • A client with a diagnosis of HPV is at risk for which of the following?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Hodgkin’s lymphoma

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Cervical cancer

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Multiple myeloma

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Ovarian cancer

    Quick Answer: 223

    Detailed Answer: 230

  • During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Syphilis

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Herpes

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Gonorrhea

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Condylomata

    Quick Answer: 223

    Detailed Answer: 230

  • A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Venereal Disease Research Lab (VDRL)

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Rapid plasma reagin (RPR)

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Fluorescent treponemal antibody (FTA)

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Thayer-Martin culture (TMC)

    Quick Answer: 223

    Detailed Answer: 230

  • A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Elevated blood glucose

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Elevated platelet count

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Elevated creatinine clearance

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Elevated hepatic enzymes

    Quick Answer: 223

    Detailed Answer: 230

  • The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

    Quick Answer: 223

    Detailed Answer: 230

  • A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Magnesium sulfate 4gm (25%) IV

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Brethine 10mcg IV

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Stadol 1mg IV push every 4 hours as needed prn for pain

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Ancef 2gm IVPB every 6 hours

    Quick Answer: 223

    Detailed Answer: 230

  • A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The infant is at low risk for congenital anomalies.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The infant is at high risk for intrauterine growth retardation.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The infant is at high risk for respiratory distress syndrome.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The infant is at high risk for birth trauma.

    Quick Answer: 223

    Detailed Answer: 231

  • Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Crying

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Wakefulness

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Jitteriness

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Yawning

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Decreased urinary output

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Hypersomnolence

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Absence of knee jerk reflex

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Decreased respiratory rate

    Quick Answer: 223

    Detailed Answer: 231

  • The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Place her in Trendelenburg position.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Decrease the rate of IV infusion.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Administer oxygen per nasal cannula.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Increase the rate of the IV infusion.

    Quick Answer: 223

    Detailed Answer: 231

  • A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Alteration in nutrition

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Alteration in bowel elimination

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Alteration in skin integrity

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Ineffective individual coping

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for a client with uremic frost. The nurse is aware that uremic frost is often seen in clients with:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Severe anemia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Arteriosclerosis

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Liver failure

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Parathyroid disorder

    Quick Answer: 223

    Detailed Answer: 231

  • The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Alteration in cerebral tissue perfusion

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Fluid volume deficit

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Ineffective airway clearance

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Alteration in sensory perception

    Quick Answer: 223

    Detailed Answer: 231

  • The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Likes to play football

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Drinks carbonated drinks

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Has two sisters

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Is taking acetaminophen for pain

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Allow the client to keep the fruit.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Place the fruit next to the bed for easy access by the client.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Offer to wash the fruit for the client.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Ask the family members to take the fruit home.

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse’s action should be to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Place the client in Trendelenburg position.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Increase the infusion of normal saline.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Administer atropine intravenously.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Move the emergency cart to the bedside.

    Quick Answer: 223

    Detailed Answer: 231

  • The client admitted two days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Order a chest x-ray.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Reinsert the tube.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Cover the insertion site with a Vaseline gauze.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Call the doctor.

    Quick Answer: 223

    Detailed Answer: 231

  • A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Assess for signs of abnormal bleeding.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Anticipate an increase in the Coumadin dosage.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Instruct the client regarding the drug therapy.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Increase the frequency of neurological assessments.

    Quick Answer: 223

    Detailed Answer: 231

  • Which selection would provide the most calcium for the client who is four months pregnant?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    A granola bar

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    A bran muffin

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    A cup of yogurt

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    A glass of fruit juice

    Quick Answer: 223

    Detailed Answer: 232

  • The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The nurse performs a vaginal exam every 30 minutes.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The nurse places a padded tongue blade at the bedside.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The nurse inserts a Foley catheter.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The nurse darkens the room.

    Quick Answer: 223

    Detailed Answer: 232

  • The best size cathlon for administration of a blood transfusion to a six-year-old is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    18 gauge

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    19 gauge

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    22 gauge

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    20 gauge

    Quick Answer: 223

    Detailed Answer: 232

  • A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Hypovolemia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Laryngeal edema

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Hypernatremia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Hyperkalemia

    Quick Answer: 223

    Detailed Answer: 232

  • The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The client selects a balanced diet from the menu.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The client can tell the nurse the normal blood glucose level.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The client asks for brochures on the subject of diabetes.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The client demonstrates correct insulin injection technique.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Pain at the site

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Warm fingers

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Pulses rapid

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Paresthesia of the fingers

    Quick Answer: 223

    Detailed Answer: 232

  • The client with AIDS should be taught to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Avoid warm climates.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Refrain from taking herbals.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Avoid exercising.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Report any changes in skin color.

    Quick Answer: 223

    Detailed Answer: 232

  • Which action by the healthcare worker indicates a need for further teaching?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The nursing assistant ambulates the elderly client using a gait belt.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The nurse wears goggles while performing a veno-puncture.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The nurse washes his hands after changing a dressing.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The nurse wears gloves to monitor the IV infusion rate.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT, the nurse should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Apply a tourniquet to the client’s arm.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Administer an anticonvulsant medication.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Ask the client if he is allergic to shellfish.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Apply a blood pressure cuff to the arm.

    Quick Answer: 223

    Detailed Answer: 232

  • The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Rectal itching

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Nausea

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Oral ulcerations

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Scalp itching

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Treatment is not recommended for children less than 10 years of age.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Bed linens should be washed in hot water.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Medication therapy will continue for one year.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Intravenous antibiotic therapy will be ordered.

    Quick Answer: 223

    Detailed Answer: 232

  • The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The client with HIV

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The client with a radium implant for cervical cancer

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The client with RSV (respiratory synctial virus)

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The client with cytomegalovirus

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The client with methicillin resistant-staphylococcus aureas (MRSA)

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The client with diabetes

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The client with pancreatitis

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The client with Addison’s disease

    Quick Answer: 223

    Detailed Answer: 232

  • The doctor accidentally cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Negligence

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Tort

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Assault

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Malpractice

    Quick Answer: 223

    Detailed Answer: 233

  • Which assignment should not be performed by the nursing assistant?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Feeding the client

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Bathing the client

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Obtaining a stool

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Administering a fleet enema

    Quick Answer: 223

    Detailed Answer: 233

  • The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Tell the mother to wash the face with soap and apply powder.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Tell her that 30% of newborns have a rash that will go away by one month of life.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Report the rash to the doctor immediately.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Ask the mother if anyone else in the family has had a rash in the last six months.

    Quick Answer: 223

    Detailed Answer: 233

  • Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The LPN who is six months postpartum

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The RN who is pregnant

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The RN who is allergic to iodine

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The RN with a three-year-old at home

    Quick Answer: 223

    Detailed Answer: 233

  • Which information should be reported to the state Board of Nursing?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The facility fails to provide literature in both Spanish and English.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The narcotic count has been incorrect on the unit for the past three days.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The client fails to receive an itemized account of his bills and services received during his hospital stay.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Call the Board of Nursing.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    File a formal reprimand.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Terminate the nurse.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Charge the nurse with a tort.

    Quick Answer: 223

    Detailed Answer: 233

  • The home health nurse is planning for the day’s visits. Which client should be seen first?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The 78-year-old who had a gastrectomy three weeks ago and has a PEG tube

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The 50-year-old with MRSA being treated with Vancomycin via a PICC line

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

    Quick Answer: 223

    Detailed Answer: 233

  • The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    A client having auditory hallucinations and the client with ulcerative colitis

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The client who is pregnant and the client with a broken arm

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    A child who is cyanotic with severe dypsnea and a client with a frontal head injury

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The client who arrives with a large puncture wound to the abdomen and the client with chest pain

    Quick Answer: 223

    Detailed Answer: 233

  • Before administering eardrops to a toddler, the nurse should recognize that it is essential to consider which of the following?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The age of the child

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The child’s weight

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The developmental level of the child

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The IQ of the child

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    “It is okay to give my child white grape juice for breakfast.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    “My child can have a grilled cheese sandwich for lunch.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    “For a snack, my child can have ice cream.”

    Quick Answer: 223

    Detailed Answer: 233

  • A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The client is at risk for opportunistic diseases.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The client is no longer communicable.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The client’s viral load is extremely low so he is relatively free of circulating virus.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The client’s T-cell count is extremely low.

    Quick Answer: 223

    Detailed Answer: 233

  • The client has an order for sliding scale insulin at 1900 hours and Lantus insulin at the same hour. The nurse should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Administer the two medications together.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Administer the medications in two injections.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Draw up the Lantus insulin and then the regular insulin and administer them together.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Contact the doctor because these medications should not be given to the same client.

    Quick Answer: 223

    Detailed Answer: 234

  • A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Altered nutrition

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Impaired communication

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Risk for injury/aspiration

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Altered urinary elimination

    Quick Answer: 223

    Detailed Answer: 234

  • What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Hypertension

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Lassitude

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Fatigue

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Vomiting and diarrhea

    Quick Answer: 223

    Detailed Answer: 234

  • Which action is contraindicated in the client with epiglottis?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Ambulation

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Oral airway assessment using a tongue blade

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Placing a blood pressure cuff on the arm

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Checking the deep tendon reflexes.

    Quick Answer: 223

    Detailed Answer: 234

  • A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Slow pulse

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Anorexia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Bulging eyes

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Weight gain

    Quick Answer: 223

    Detailed Answer: 234

  • Which of the following foods, if selected by the mother with a child with celiac, would indicate her understanding of the dietary instructions?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Whole-wheat toast

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Angel hair pasta

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Reuben on rye

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Rice cereal

    Quick Answer: 223

    Detailed Answer: 234

  • The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Elevate the head.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Recheck the O2 saturation in 30 minutes.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Apply oxygen by mask.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Assess the heart rate.

    Quick Answer: 223

    Detailed Answer: 234

  • Which observation would the nurse expect to make after an amniotomy?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Dark yellow amniotic fluid

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Clear amniotic fluid

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Greenish amniotic fluid

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Red amniotic fluid

    Quick Answer: 223

    Detailed Answer: 234

  • The client taking Glyburide (Diabeta) should be cautioned to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Avoid eating sweets.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Report changes in urinary pattern.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Allow three hours for onset.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Check the glucose daily.

    Quick Answer: 223

    Detailed Answer: 234

  • The obstetric client’s fetal heart rate is 80–90 during the contractions. The first action the nurse should take is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Reposition the monitor.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Turn the client to her left side.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Ask the client to ambulate.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Prepare the client for delivery.

    Quick Answer: 223

    Detailed Answer: 234

  • Arterial ulcers are best described as ulcers that:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Are smooth in texture

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Have irregular borders

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Are cool to touch

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Are painful to touch

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Anticipate the need for a Caesarean section.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Apply an internal fetal monitor.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Place the client in Genu Pectoral position.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Perform an ultrasound.

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The cervix is closed.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The membranes are still intact.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The fetal heart tones are within normal limits.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The contractions are intense enough for insertion of an internal monitor.

    Quick Answer: 223

    Detailed Answer: 234

  • The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Impaired gas exchange related to hyperventilation

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Alteration in placental perfusion related to maternal position

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Impaired physical mobility related to fetal-monitoring equipment

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Potential fluid volume deficit related to decreased fluid intake

    Quick Answer: 223

    Detailed Answer: 235

  • As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The baby is sleeping.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The umbilical cord is compressed.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    There is head compression.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    There is uteroplacental insufficiency.

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Notify her doctor.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Start an IV.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Reposition the client.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Readjust the monitor.

    Quick Answer: 223

    Detailed Answer: 235

  • Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    A fetal heart rate of 120–130bpm

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    A baseline variability of 6–10bpm

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Accelerations in FHR with fetal movement

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    A recurrent rate of 90–100bpm at the end of the contractions

    Quick Answer: 223

    Detailed Answer: 235

  • The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The bladder fills more rapidly because of the medication used for the epidural.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Her level of consciousness is such that she is in a trancelike state.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The sensation of the bladder filling is diminished or lost.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    She is embarrassed to ask for the bedpan that frequently.

    Quick Answer: 223

    Detailed Answer: 235

  • A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Estrogen levels are low

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Lutenizing hormone is high

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The endometrial lining is thin

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The progesterone level is low

    Quick Answer: 223

    Detailed Answer: 235

  • A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Age of the client

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Frequency of intercourse

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Regularity of the menses

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Range of the client’s temperature

    Quick Answer: 223

    Detailed Answer: 235

  • A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Intrauterine device

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Oral contraceptives

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Diaphragm

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Contraceptive sponge

    Quick Answer: 223

    Detailed Answer: 235

  • The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Painless vaginal bleeding

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Abdominal cramping

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Throbbing pain in the upper quadrant

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Sudden, stabbing pain in the lower quadrant

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Hamburger patty, green beans, French fries, and iced tea

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Roast beef sandwich, potato chips, baked beans, and cola

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Fish sandwich, gelatin with fruit, and coffee

    Quick Answer: 223

    Detailed Answer: 236

  • The client with hyperemesis gravidarum is at risk for developing:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Respiratory alkalosis without dehydration

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Metabolic acidosis with dehydration

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Respiratory acidosis without dehydration

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Metabolic alkalosis with dehydration

    Quick Answer: 223

    Detailed Answer: 236

  • A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Elevated human chorionic gonadatropin

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The presence of fetal heart tones

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Uterine enlargement

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Breast enlargement and tenderness

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Hypoglycemic, small for gestational age

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Hyperglycemic, large for gestational age

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Hypoglycemic, large for gestational age

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Hyperglycemic, small for gestational age

    Quick Answer: 223

    Detailed Answer: 236

  • Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Weight gain should be reported to the physician.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    An alternate method of birth control is needed when taking antibiotics.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    If the client misses one or more pills, two pills should be taken per day for one week.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Changes in the menstrual flow should be reported to the physician.

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Diabetes

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    HIV

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Hypertension

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Thyroid disease

    Quick Answer: 224

    Detailed Answer: 236

  • A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Assess the fetal heart tones.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Check for cervical dilation.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Check for firmness of the uterus.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Obtain a detailed history.

    Quick Answer: 224

    Detailed Answer: 236

  • A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Her contractions are two minutes apart.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    She has back pain and a bloody discharge.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    She experiences abdominal pain and frequent urination.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Her contractions are five minutes apart.

    Quick Answer: 224

    Detailed Answer: 236

  • The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Low birth weight

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Large for gestational age

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Preterm birth, but appropriate size for gestation

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Growth retardation in weight and length

    Quick Answer: 224

    Detailed Answer: 237

  • The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Within 72 hours of delivery

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Within one week of delivery

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Within two weeks of delivery

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Within one month of delivery

    Quick Answer: 224

    Detailed Answer: 237

  • After the physician performs an amniotomy, the nurse’s first action should be to assess the:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Degree of cervical dilation

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Fetal heart tones

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Client’s vital signs

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Client’s level of discomfort

    Quick Answer: 224

    Detailed Answer: 237

  • A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5cm dilated with 75% effacement. Based on the nurse’s assessment, the client is in which phase of labor?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Active

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Latent

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Transition

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Early

    Quick Answer: 224

    Detailed Answer: 237

  • A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Teaching the mother to provide tactile stimulation

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Wrapping the newborn snugly in a blanket

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Placing the newborn in the infant seat

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Initiating an early infant-stimulation program

    Quick Answer: 224

    Detailed Answer: 237

  • A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Checking for cervical dilation

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Placing the client in a supine position

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Checking the client’s blood pressure

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Obtaining a fetal heart rate

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Administer a prescribed antibiotic.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Wash her hands for two minutes before care.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Wear a mask when providing care.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Ask the client to cover her mouth when she coughs.

    Quick Answer: 224

    Detailed Answer: 237

  • The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Pain

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Disalignment

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Cool extremity

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Absence of pedal pulses

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Lack of exercise

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Hormonal disturbances

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Lack of calcium

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Genetic predisposition

    Quick Answer: 224

    Detailed Answer: 237

  • A two-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The infant no longer complains of pain.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The buttocks are 15° off the bed.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The legs are suspended in the traction.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The pins are secured within the pulley.

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Uses a Steinman pin

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Requires that both legs be secured

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Utilizes Kirschner wires

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Is used primarily to heal the fractured hips

    Quick Answer: 224

    Detailed Answer: 238

  • The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Serum collection (Davol) drain

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Client’s pain

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Nutritional status

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Immobilizer

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates understanding of the nurse’s teaching?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    “I must flush the tube with water after feedings and clamp the tube.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    “I must check placement four times per day.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    “I will report to the doctor any signs of indigestion.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    “If my father is unable to swallow, I will discontinue the feeding and call the clinic.”

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is assessing the client with a total knee replacement two hours post-operative. Which information requires notification of the doctor?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Scant bleeding on the dressing

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Low-grade temperature

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Hemoglobin of 7gm

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The urinary output has been 120ml during the last hour

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is caring for the client with a five-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The client has traveled out of the country in the last six months.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The client’s parents are skilled stained-glass artists.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The client lives in a house built in 1990.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The client has several brothers and sisters.

    Quick Answer: 224

    Detailed Answer: 238

  • A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    High-seat commode

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Recliner

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    TENS unit

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Abduction pillow

    Quick Answer: 224

    Detailed Answer: 238

  • An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Administer oxygen via nasal cannula.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Have narcan (naloxane) available.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Prepare to administer blood products.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Prepare to do cardioresuscitation.

    Quick Answer: 224

    Detailed Answer: 238

  • Which roommate would be most suitable for the six-year-old male with a fractured femur in Russell’s traction?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    16-year-old female with scoliosis

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    12-year-old male with a fractured femur

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    10-year-old male with sarcoma

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    6-year-old male with osteomylitis

    Quick Answer: 224

    Detailed Answer: 239

  • A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Take the medication with milk.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Report chest pain.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Remain upright after taking for 30 minutes.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Allow six weeks for optimal effects.

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Handles the cast with the fingertips

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Petals the cast

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Dries the cast with a hair dryer

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Allows 24 hours before bearing weight

    Quick Answer: 224

    Detailed Answer: 239

  • The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    “It will be alright for your friends to autograph the cast.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    “Because the cast is made of plaster, autographing can weaken the cast.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    “If they don’t use chalk to autograph, it is okay.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    “Autographing or writing on the cast in any form will harm the cast.”

    Quick Answer: 224

    Detailed Answer: 239

  • The nurse is assigned to care for the client with a Steinman pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Assisting the LPN with opening sterile packages and peroxide

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Telling the LPN that clean gloves are allowed

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Telling the LPN that the registered nurse should perform pin care

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Asking the LPN to clean the weights and pulleys with peroxide

    Quick Answer: 224

    Detailed Answer: 239

  • A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Check the bowel sounds.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Assess the blood pressure.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Offer pain medication.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Check for swelling.

    Quick Answer: 224

    Detailed Answer: 239

  • The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Russell’s traction

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Buck’s traction

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Halo traction

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Crutchfield tong traction

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    “Use of the CPM will permit the client to ambulate during the therapy.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    “The CPM machine controls should be positioned distal to the site.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    “If the client complains of pain during the therapy, I will turn off the machine and call the doctor.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    “Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Palms rest lightly on the handles

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Elbows are flexed 0°

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Client walks to the front of the walker

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Client carries the walker

    Quick Answer: 224

    Detailed Answer: 240

  • When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Attempt to replace the cord.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Place the client on her left side.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Elevate the client’s hips.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Cover the cord with a dry, sterile gauze.

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The tube will allow for equalization of the lung expansion.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Chest tubes relieve pain associated with a collapsed lung.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Chest tubes assist with cardiac function by stabilizing lung expansion.

    Quick Answer: 224

    Detailed Answer: 240

  • A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Mother’s educational level

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Infant’s birth weight

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Size of the mother’s breast

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Mother’s desire to breastfeed

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The presence of scant bloody discharge

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Frequent urination

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The presence of green-tinged amniotic fluid

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Moderate uterine contractions

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Duration is measured by timing from the end of one contraction to the beginning of the next contraction.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Duration is measured by timing from the beginning of one contraction to the end of the same contraction.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Duration is measured by timing from the peak of one contraction to the end of the same contraction.

    Quick Answer: 224

    Detailed Answer: 240

  • The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Maternal hypoglycemia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Fetal bradycardia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Maternal hyperreflexia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Fetal movement

    Quick Answer: 224

    Detailed Answer: 240

  • A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Insulin requirements moderate as the pregnancy progresses.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    A decreased need for insulin occurs during the second trimester.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Elevations in human chorionic gonadotrophin decrease the need for insulin.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Fetal development depends on adequate insulin regulation.

    Quick Answer: 224

    Detailed Answer: 240

  • A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Providing a calm environment

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Obtaining a diet history

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Administering an analgesic

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Assessing fetal heart tones

    Quick Answer: 224

    Detailed Answer: 240

  • A primigravida, age 42, is six weeks pregnant. Based on the client’s age, her infant is at risk for:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Down syndrome

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Respiratory distress syndrome

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Turner’s syndrome

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Pathological jaundice

    Quick Answer: 224

    Detailed Answer: 241

  • A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Magnesium sulfate

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Calcium gluconate

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Dinoprostone (Prostin E.)

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Bromocrystine (Parlodel)

    Quick Answer: 224

    Detailed Answer: 241

  • A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Stop the infusion of magnesium sulfate and contact the physician.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Slow the infusion rate and turn the client on her left side.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Administer calcium gluconate IV push and continue to monitor the blood pressure.

    Quick Answer: 224

    Detailed Answer: 241

  • Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    An affected newborn has unaffected parents.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    An affected newborn has one affected parent.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Affected parents have a one in four chance of passing on the defective gene.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Affected parents have unaffected children who are carriers.

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Because it is a state law

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    To detect cardiovascular defects

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Because of her age

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    To detect neurological defects

    Quick Answer: 224

    Detailed Answer: 241

  • A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Fetal growth is arrested if thyroid medication is continued during pregnancy.

    Quick Answer: 224

    Detailed Answer: 241

  • The nurse is responsible for performing a neonatal assessment on a full-term infant. At one minute, the nurse could expect to find:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    An apical pulse of 100

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    An absence of tonus

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Cyanosis of the feet and hands

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Jaundice of the skin and sclera

    Quick Answer: 224

    Detailed Answer: 241

  • A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Supplemental oxygen

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Fluid restriction

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Blood transfusion

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Delivery by Caesarean section

    Quick Answer: 224

    Detailed Answer: 241

  • A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Increasing fluid intake

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Limiting ambulation

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Administering an enema

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Withholding food for eight hours

    Quick Answer: 224

    Detailed Answer: 241

  • An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at one year?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    14 pounds

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    16 pounds

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    18 pounds

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    24 pounds

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Determines the lung maturity of the fetus

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Measures the activity of the fetus

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Shows the effect of contractions on the fetal heart rate

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Measures the neurological well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 242

  • A full-term male has hypospadias. Which statement describes hypospadias?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The urethral opening is absent

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The urethra opens on the top side of the penis

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The urethral opening is enlarged

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The urethra opens on the under side of the penis

    Quick Answer: 224

    Detailed Answer: 242

  • A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Alteration in coping related to pain

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Potential for injury related to precipitate delivery

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Alteration in elimination related to anesthesia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Potential for fluid volume deficit related to NPO status

    Quick Answer: 224

    Detailed Answer: 242

  • The client with varicella will most likely have an order for which category of medication?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Antibiotics

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Antipyretics

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Antivirals

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Anticoagulants

    Quick Answer: 224

    Detailed Answer: 242

  • A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Nitroglycerin

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Ampicillin

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Propranolol

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Verapamil

    Quick Answer: 224

    Detailed Answer: 242

  • Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Avoid exercise because it fatigues the joints.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Take prescribed anti-inflammatory medications with meals.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Alternate hot and cold packs to affected joints.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Avoid weight-bearing activity.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Meperidine 100mg IM m 4 hours PRN pain

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Mylanta 30 ccs m 4 hours via NG

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Cimetadine 300mg PO m.i.d.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Morphine 8mg IM m 4 hours PRN pain

    Quick Answer: 224

    Detailed Answer: 242

  • The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Hallucinogenic drugs create both stimulant and depressant effects.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Hallucinogenic drugs induce a state of altered perception.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Hallucinogenic drugs produce severe respiratory depression.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Hallucinogenic drugs induce rapid physical dependence.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Depression and suicidal ideation

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Tachycardia and diarrhea

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Muscle cramping and abdominal pain

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Tachycardia and euphoric mood

    Quick Answer: 224

    Detailed Answer: 242

  • During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Right breech presentation

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Right occipital anterior presentation

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Left sacral anterior presentation

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Left occipital transverse presentation

    Quick Answer: 224

    Detailed Answer: 243

  • The primary physiological alteration in the development of asthma is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Bronchiolar inflammation and dyspnea

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Hypersecretion of abnormally viscous mucus

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Infectious processes causing mucosal edema

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Spasm of bronchiolar smooth muscle

    Quick Answer: 224

    Detailed Answer: 243

  • A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Serve high-calorie foods she can carry with her.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Encourage her appetite by sending out for her favorite foods.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Serve her small, attractively arranged portions.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Allow her in the unit kitchen for extra food whenever she pleases.

    Quick Answer: 224

    Detailed Answer: 243

  • To maintain Bryant’s traction, the nurse must make certain that the child’s:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Hips are resting on the bed, with the legs suspended at a right angle to the bed

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

    Quick Answer: 224

    Detailed Answer: 243

  • Which action by the nurse indicates understanding of herpes zoster?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The nurse covers the lesions with a sterile dressing.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The nurse wears gloves when providing care.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The nurse administers a prescribed antibiotic.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The nurse administers oxygen.

    Quick Answer: 224

    Detailed Answer: 243

  • There is an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that he should contact the lab for them to collect the blood:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    15 minutes after the infusion

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    30 minutes before the fourth infusion

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    One hour after the infusion

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Two hours after the infusion

    Quick Answer: 224

    Detailed Answer: 243

  • The client using a diaphragm should be instructed to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Refrain from keeping the diaphragm in longer than four hours

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Keep the diaphragm in a cool location

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Have the diaphragm resized if she gains five pounds

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Have the diaphragm resized if she has any surgery

    Quick Answer: 224

    Detailed Answer: 243

  • The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    “I’m wearing a support bra.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    “I’m expressing milk from my breast.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    “I’m drinking four glasses of fluid during a 24-hour period.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    “While I’m in the shower, I’ll allow the water to run over my breasts.”

    Quick Answer: 224

    Detailed Answer: 243

  • Damage to the VII cranial nerve results in:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Facial pain

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Absence of ability to smell

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Absence of eye movement

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Tinnitus

    Quick Answer: 224

    Detailed Answer: 243

  • A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Cause diarrhea

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Change the color of her urine

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Cause mental confusion

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Cause changes in taste

    Quick Answer: 224

    Detailed Answer: 244

  • Which of the following tests should be performed before beginning a prescription of Accutane?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Check the calcium level.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Perform a pregnancy test.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Monitor apical pulse.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Obtain a creatinine level.

    Quick Answer: 224

    Detailed Answer: 244

  • A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Limit the client’s activity.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Encourage a high-carbohydrate diet.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Use an incentive spirometer to improve respiratory function.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Encourage fluids.

    Quick Answer: 224

    Detailed Answer: 244

  • A client is admitted for an CAT scan. The nurse should question the client regarding:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Pregnancy

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    A titanium hip replacement

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Allergies to antibiotics

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Inability to move his feet

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Changes in vision

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Nausea

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Urinary frequency

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Changes in skin color

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse should visit which of the following clients first?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The client with diabetes with a blood glucose of 95mg/dL

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The client with hypertension being maintained on Lisinopril

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The client with chest pain and a history of angina

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The client with Raynaud’s disease

    Quick Answer: 224

    Detailed Answer: 244

  • A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Once per day in the morning

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Three times per day with meals

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Once per day at bedtime

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Four times per day

    Quick Answer: 224

    Detailed Answer: 244

  • Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The lens controls stimulation of the retina.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The lens orchestrates eye movement.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The lens focuses light rays on the retina.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The lens magnifies small objects.

    Quick Answer: 224

    Detailed Answer: 244

  • A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Anesthetize the cornea

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Dilate the pupils

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Constrict the pupils

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Paralyze the muscles of accommodation

    Quick Answer: 224

    Detailed Answer: 244

  • A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Allow five minutes between the two medications.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The medications may be used together.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The medications should be separated by a cycloplegic drug.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The medications should not be used in the same client.

    Quick Answer: 224

    Detailed Answer: 244

  • The client with color blindness will most likely have problems distinguishing which of the following colors?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Orange

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Violet

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Red

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    White

    Quick Answer: 224

    Detailed Answer: 244

  • The client with a pacemaker should be taught to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Report ankle edema

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Check his blood pressure daily

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Refrain from using a microwave oven

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Monitor his pulse rate

    Quick Answer: 224

    Detailed Answer: 245

  • The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    1900

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    1200

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    1000

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    0700

    Quick Answer: 224

    Detailed Answer: 245

  • Which of the following diet instructions should be given to the client with recurring urinary tract infections?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Increase intake of meats.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Avoid citrus fruits.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Perform pericare with hydrogen peroxide.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Drink a glass of cranberry juice every day.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    “I will make sure I eat breakfast within two hours of taking my insulin.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    “I will eat a snack around three o’clock each afternoon.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 224

    Detailed Answer: 245

  • A client with pneumacystis carinii pneumonia is receiving Methotrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Treat anemia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Create a synergistic effect

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Increase the number of white blood cells

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Reverse drug toxicity

    Quick Answer: 224

    Detailed Answer: 245

  • A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    TB skin test

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Rubella vaccine

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    ELISA test

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Chest x-ray

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    30 minutes before meals

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    With each meal

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    In a single dose at bedtime

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    60 minutes after meals

    Quick Answer: 224

    Detailed Answer: 245

  • A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Is the opening on the client’s left side

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Is the opening on the distal end on the client’s left side

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Is the opening on the client’s right side

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Is the opening on the distal right side

    Quick Answer: 224

    Detailed Answer: 245

  • While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Ask the client to void.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Assess the blood pressure for hypotension.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Administer oxytocin.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Check for vaginal bleeding.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The need for oxygen therapy

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    A history of claustrophobia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    A permanent pacemaker

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Sensory deafness

    Quick Answer: 224

    Detailed Answer: 246

  • A six-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Colorful crib mobile

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Hand-held electronic games

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Cars in a plastic container

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    30-piece jigsaw puzzle

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Taking a hot bath will decrease stiffness and spasticity.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    A schedule of strenuous exercise will improve muscle strength.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Rest periods should be scheduled throughout the day.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Visual disturbances can be corrected with prescription glasses.

    Quick Answer: 224

    Detailed Answer: 246

  • A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Dulcolax suppository

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Docusate sodium (Colace)

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Methyergonovine maleate (Methergine)

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Bromocriptine sulfate (Parlodel)

    Quick Answer: 224

    Detailed Answer: 246

  • A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Total Parenteral Nutrition cannot be managed with oral hypoglycemics.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Total Parenteral Nutrition leads to further pancreatic disease.

    Quick Answer: 224

    Detailed Answer: 246

  • An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The client’s knowledge of the signs of preterm labor

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The client’s feelings about the pregnancy

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Whether the client was using a method of birth control

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The client’s thought about future children

    Quick Answer: 224

    Detailed Answer: 246

  • An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    .45 normal saline

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Dextrose 1% in water

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Lactated Ringer’s

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Dextrose 5% in .45 normal saline

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Assess the client for allergies.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Bolus the client with IV fluid.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Tell the client he will be asleep.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Insert a urinary catheter.

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Provide immunity against Rh isoenzymes

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Prevent the formation of Rh antibodies

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Eliminate circulating Rh antibodies

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Convert the Rh factor from negative to positive

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Application of a short inclusive spica cast

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Stabilization with a plaster-of-Paris cast

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Surgery with Kirschner wire implantation

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    A gauze dressing only

    Quick Answer: 224

    Detailed Answer: 246

  • A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Strain his urine

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Increase his fluid intake

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Report urinary frequency

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Avoid prolonged sitting

    Quick Answer: 224

    Detailed Answer: 247

  • Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Antivirals

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Antibiotics

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Immunosuppressants

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Analgesics

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Mydriatics to facilitate removal

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Miotic medications such as Timoptic

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    A laser to smooth and reshape the lens

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Silicone oil injections into the eyeball

    Quick Answer: 224

    Detailed Answer: 247

  • A client with Alzheimer’s disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Placing mirrors in several locations in the home

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Placing a picture of herself in her bedroom

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Placing simple signs to indicate the location of the bedroom, bathroom, and so on

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Alternating healthcare workers to prevent boredom

    Quick Answer: 224

    Detailed Answer: 247

  • A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Prevent the need for dressing changes

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Reduce edema at the incision

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Provide for wound drainage

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Keep the common bile duct open

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Mongolian spots

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Scrotal rugae

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Head lag

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Polyhydramnios

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Hematuria

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Muscle spasms

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Dizziness

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Nausea

    Quick Answer: 224

    Detailed Answer: 247

  • A client is brought to the emergency room by the police. He is combative and yells, “I have to get out of here. They are trying to kill me.” Which assessment is most likely correct in relation to this statement?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The client is experiencing an auditory hallucination.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The client is having a delusion of grandeur.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The client is experiencing paranoid delusions.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The client is intoxicated.

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client’s bedside table. There is no label to indicate the date or time of initial use. The nurse should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Lip the bottle and use a pack of sterile 4×4 for the dressing.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Obtain a new bottle and label it with the date and time of first use.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Ask the ward secretary when the solution was requested.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Label the existing bottle with the current date and time.

    Quick Answer: 224

    Detailed Answer: 247

  • An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The baby is hypothermic.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    The baby is experiencing bradycardia.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The baby’s hands and feet are blue.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    The baby is lethargic.

    Quick Answer: 224

    Detailed Answer: 247

  • The primary reason for rapid continuous rewarming of the area affected by frostbite is to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Lessen the amount of cellular damage

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Prevent the formation of blisters

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Promote movement

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Prevent pain and discomfort

    Quick Answer: 224

    Detailed Answer: 248

  • A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Passing water through a dialyzing membrane

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Eliminating plasma proteins from the blood

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Lowering the pH by removing nonvolatile acids

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Filtering waste through a dialyzing membrane

    Quick Answer: 224

    Detailed Answer: 248

  • During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Administer an antibiotic.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Contact the physician for an order for immune globulin.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Administer an antiviral.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Tell the client that he should remain in isolation for two weeks.

    Quick Answer: 224

    Detailed Answer: 248

  • A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    The client should be placed in a room with negative pressure.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Infection requires close contact; therefore, the door may remain open.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Transmission is highly likely, so the client should wear a mask at all times.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

    Quick Answer: 224

    Detailed Answer: 248

  • A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    “The pain will go away in a few days.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    “The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    “The pain is psychological because your foot is no longer there.”

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    “The pain and itching are due to the infection you had before the surgery.”

    Quick Answer: 224

    Detailed Answer: 248

    Quick Answer: 224

    Detailed Answer: 248

  • A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Head of the pancreas

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Proximal third section of the small intestines

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Stomach and duodenum

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Esophagus and jejunum

    Quick Answer: 224

    Detailed Answer: 248

  • The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Fruits

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Salt

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Pepper

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Ketchup

    Quick Answer: 224

    Detailed Answer: 248

  • A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Have a Protime done monthly.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Eat more fruits and vegetables.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Drink more liquids.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Avoid crowds.

    Quick Answer: 224

    Detailed Answer: 248

  • The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Perform the Valsalva maneuver as the catheter is advanced

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Turn his head to the left side and hyperextend the neck

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Take slow, deep breaths as the catheter is removed

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Turn his head to the right while maintaining a sniffing position

    Quick Answer: 224

    Detailed Answer: 248

  • A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Allergies to pineapples and bananas

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    A history of streptococcal infections

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Prior therapy with phenytoin

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    A history of alcohol abuse

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Using oil- or cream-based soaps

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Flossing between the teeth

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    The intake of salt

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Using an electric razor

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Apply the new tie before removing the old one.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Have a helper present.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Hold the tracheotomy with the nondominant hand while removing the old tie.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Ask the doctor to suture the tracheostomy in place.

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Turning the client to the left side

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Milking the tube to ensure patency

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Slowing the intravenous infusion

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Notifying the physician

    Quick Answer: 224

    Detailed Answer: 249

  • The infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Digoxin

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Epinephrine

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Aminophyline

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Atropine

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    Quick Answer: 224

    Detailed Answer: 249

  • The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Tire easily

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Grow normally

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Need more calories

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Be more susceptible to viral infections

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Determine lung maturity

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Measure the fetal activity

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Show the effect of contractions on fetal heart rate

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Measure the well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Instruct the client to push.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Perform a vaginal exam.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Turn off the Pitocin infusion.

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Place the client in a semi-Fowler’s position.

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Atrial flutter

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    A sinus rhythm

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Ventricular tachycardia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Atrial fibrillation

    Quick Answer: 224

    Detailed Answer: 250

  • A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Be injected into the deltoid muscle

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Be injected into the abdomen

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Aspirate after the injection

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Clear the air from the syringe before injections

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Administer the medications together in one syringe

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Administer the medication separately

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Administer the Valium, wait five minutes, and then inject the Phenergan

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Question the order because they cannot be given at the same time

    Quick Answer: 224

    Detailed Answer: 250

  • A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Douche after intercourse

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Void every three hours

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Obtain a urinalysis monthly

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Wipe from back to front after voiding

    Quick Answer: 224

    Detailed Answer: 250

  • Which task should be assigned to the nursing assistant?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Placing the client in seclusion

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Emptying the Foley catheter of the preeclamptic client

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Feeding the client with dementia

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Ambulating the client with a fractured hip

    Quick Answer: 224

    Detailed Answer: 250

  • The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    A tracheotomy set

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    A padded tongue blade

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    An endotracheal tube

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    An airway

    Quick Answer: 224

    Detailed Answer: 250

  • The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    A.

    Cats

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    B.

    Dogs

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    C.

    Turtles

    Which characteristic would the nurse anticipate finding in the newborn of a mother with diabetes?

    D.

    Birds

    Quick Answer: 224

    Detailed Answer: 250

    • What are the characteristics of infants of diabetic mothers?

    Symptoms.
    Blue skin color, rapid heart rate, rapid breathing (signs of immature lungs or heart failure).
    Poor sucking, lethargy, weak cry..
    Seizures (sign of severe low blood sugar).
    Poor feeding..
    Puffy face..
    Tremors or shaking shortly after birth..
    Jaundice (yellow skin color).

    What happens to baby if mother is diabetic?

    Diabetes that is not well controlled causes the baby's blood sugar to be high. The baby is “overfed” and grows extra large. Besides causing discomfort to the woman during the last few months of pregnancy, an extra large baby can lead to problems during delivery for both the mother and the baby.

    What is the newborn of a diabetic mother at risk to develop?

    The infant of a diabetic mother is at risk of transient hyperinsulinism, which prevents at birth the normal activation of metabolic pathways producing glucose and ketone bodies, and causes increased glucose consumption by tissues[17].

    What causes the manifestations observed in an infant of a diabetic mother?

    The mother's excess amounts of blood glucose are transferred to the fetus during pregnancy. This causes the baby's body to secrete increased amounts of insulin, which results in increased tissue and fat deposits. The infant of a diabetic mother is often larger than expected for the gestational age.

    characteristic nurse anticipate finding newborn mother diabetes

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