A female client at 36 weeks' gestation has been treated successfully for premature labor for 4 weeks. She has begun having uterine contractions today and has been admitted to the labor and delivery suite. Her amniocentesis results reveal a lecithin/sphingomyelin (L/S) ratio of 2 and positive phosphatidylglycerol (PG). These lab values indicate:

• A.Placental maturity
• B.Suspected chronic asphyxia
• C.Cord compression
• D.Fetal lung maturity

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A 10-month-old infant's mother says that he takes fresh whole milk eagerly, but that when she offered him baby foods at 6 months of age, he pushed them out of his mouth. Because he has gained weight appropriately, she has quit trying to get him to eat other foods. The nurse's response is based on the knowledge that:

• A.Milk intake should be limited to no more than four 8-oz bottles per day and should be followed by iron- enriched cereal or other solid foods or juices
• B.Milk is an excellent food and will meet his nutritional needs adequately until he is ready to eat solid foods
• C.It is acceptable to continue to give him whole milk and to delay giving solid foods as long as he takes a vitamin supplement daily
• D.He should be started on iron-enriched cereal, meat, vegetables, fruits, and juices prior to bottle feeds. Milk intake should be limited to 1 qt/day

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After an infant is delivered by cesarean delivery and placed on the warmer, the RN dries and assesses the infant. At 1 and 5 minutes after birth, the RN does the Apgar scoring of the infant. The RN knows that because this infant was delivered by cesarean section, he is at increased risk for having which one of the following:

• A.Cold stress
• B.Cyanosis
• C.Respiratory distress syndrome
• D.Seizures

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A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardia. She has a history of asthma. Arterial blood gas values are pH 7.28, PaO2 54, PaCO2 60, and HCO3 24. The nursing assessment of arterial blood gases indicate the presence of:

• A.Respiratory alkalosis
• B.Respiratory acidosis
• C.Metabolic alkalosis
• D.Metabolic acidosis

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A 70-year-old homeless woman is admitted with pneumonia. She is weak, emaciated, and febrile. The physician orders enteral feedings intermittently by nasogastric tube. When inserting the nasogastric tube, once the tube passes through the oropharynx, the nurse will instruct the client to:

• A.Tilt her head backwards
• B.Swallow as tube passes
• C.Hold breath as tube passes
• D.Cough as tube passes

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