A mother brings a 6-month-old infant and a 4-year-old child to the nursing clinic for routine examination and screening. Which of these plans by the nurse would be most successful?

• A.Examine the 4 year old first.
• B.Provide time for play and becoming acquainted.
• C.Have the mother leave the room with one child, and examine the other child privately.
• D.Examine painful areas first to get them "over with."

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A female client at 10 weeks' gestation complains to her physician of slight vaginal bleeding and mild cramps.
On examination, her physician determines that her cervix is closed. The client is exhibiting signs of:

• A.An inevitable abortion
• B.A threatened abortion
• C.An incomplete abortion
• D.A missed abortion

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A newborn has been delivered with a meningomyelocele. The nursery nurse should position the newborn:

• A.Prone
• B.Supine
• C.Side lying
• D.Semi-Fowler

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In cleansing the perineal area around the site of catheter insertion, the nurse would:

• A.Wipe the catheter toward the urinary meatus
• B.Wipe the catheter away from the urinary meatus
• C.Apply a small amount of talcum powder after drying the perineal area
• D.Gently insert the catheter another 12 inch after cleansing to prevent irritation from the balloon

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A 55-year-old woman entered the emergency room by ambulance. Her primary complaint is chest pain.
She is receiving O2 via nasal cannula at 2 L/min for dyspnea. Which of the following findings in the client's nursing assessment demand immediate nursing action?

• A.Associated symptoms of indigestion and nausea
• B.Restlessness and apprehensiveness
• C.Inability to tolerate assessment session with the admitting nurse
• D.History of hypertension treated with pharmacological therapy

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