A newborn is admitted to the newborn nursery with tremors, apnea periods, and poor sucking reflex. The nurse should suspect:

• A.Central nervous system damage
• B.Hypoglycemia
• C.Hyperglycemia
• D.These are normal newborn responses to extrauterine life

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Painless vaginal bleeding in the last trimester may be caused by:

• A.Menstruation
• B.Abruptio placentae
• C.Placenta previa
• D.Polyhydramnios

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A 5-year-old has just had a tonsillectomy and adenoidectomy. Which of these nursing measures should be included in the postoperative care?

• A.Encourage the child to cough up blood if present.
• B.Give warm clear liquids when fully alert.
• C.Have child gargle and do toothbrushing to remove old blood.
• D.Observe for evidence of bleeding.

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An infant with a congenital heart defect is being discharged with an order for the administration of digoxin elixir every 12 hours. The parents need to be taught when administering digoxin to the infant that:

• A.If the infant vomits within 30 minutes of the digoxin administration, repeat the dose
• B.They need to mix it with formula so the infant swallows it easily
• C.If the infant vomits two or more consecutive doses or becomes listless or anorexic, notify thephysician
• D.If a dose of digoxin is skipped for more than 6 hours, a new timetable for administration must be developed

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A pregnant client complains of varicosities in the third trimester. Which of the following activities should she be advised to avoid?

• A.Sitting with legs crossed at ankles
• B.Wearing thromboembolic disease (TED) stockings
• C.Wearing support pantyhose
• D.Wearing knee-high stockings

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