Nursing care for the parents of a child with a congenital heart defect would include:

• A.Encouraging the parents not to tell the child about the seriousness of the congenital heart defect, so the child will function as normally as possible
• B.Acknowledging the fear and concern surrounding their child's health and assisting the parents through the grieving process as they mourn the loss of their fantasized healthy child
• C.Identifying anger and resentment as destructive emotions that serve no purpose
• D.Expressing to the parents after the corrective surgery has been completed successfully that all their grief feelings will resolve

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A 34-year-old client who is gravida 1, para 0 has a history of infertility and conceived this pregnancy while taking fertility drugs. She is at 32 weeks' gestation and is carrying triplets. She is complaining of low back pain and a feeling of pelvic pressure. Her cervical exam reveals a long, closed cervix. The nurse notes that the client is experiencing mild uterine contractions every 7-8 minutes after the nurse has placed her on the fetal monitor. Her condition should indicate that:

• A.Her cervix shows she will likely deliver soon
• B.The nurse should not be alarmed because mild uterine activity is common at 32 weeks' gestation
• C.She may be in preterm labor because this is more common with multiple pregnancies
• D.She most likely has a urinary tract infection (UTI) because this is common with pregnancy

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An 8-year-old child is admitted to the hospital for surgery. She has had no previous hospitalizations, and both she and her family appear anxious and fearful. It will be most helpful for the nurse to:

• A.Take the child to her room and calmly and matter-offactly begin to get her ready to go to the operating room
• B.Take time to orient the child and her family to the hospital and the forthcoming events
• C.Explain that as soon as the child goes to the operating room she will have time to answer any questions the family has
• D.Tell the child and her family that there is nothing to worry about, that the operation will not take long, and she will soon be as "good as new"

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Provide the 1-minute Apgar score for an infant born with the following findings: Heart rate: Above 100 Respiratory effort: Slow, irregular Muscle tone: Some flexion of extremities Reflex irritability: Vigorous cry Color: Body pink, blue extremities

• A.7
• B.10
• C.8
• D.9

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A client is experiencing mucosal cell damage secondary to chemotherapy. Because of mucosal ulcers, eating has become increasingly uncomfortable for her. Which of the following interventions would be most effective in getting her to eat?

• A.Local anesthetics or mouth washes applied to ulcers 30 minutes prior to meals
• B.A bland, moist, soft diet
• C.Staying with the client and providing distraction during meals
• D.Cleaning the mouth carefully with lemon glycerin swabs and milk of magnesia before meals

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