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B wipe with alcohol swab c gently remove the yellow

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b. Wipe with alcohol swab.c. Gently remove the yellow crust formation.d. Apply diaper loosely.e. Dress with simple bandage.ANS: A, DPostcircumcision care includes washing with warm water, avoiding alcohol wipes, leavingthe yellow crust in place, and diapering loosely.DIF: Cognitive Level: Application REF: Page 293, Patient Teaching boxOBJ: 7 TOP: Circumcision CareKEY: Nursing Process Step: ImplementationMSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection ofDisease28. The nurse is aware that a full-term infant is born with which reflexes? (Select all thatapply.)a. Blinkingb. Sneezingc. Gaggingd. Suckinge. GraspingANS: A, B, C, D, EAll listed reflexes are present in the full-term newborn.DIF: Cognitive Level: Knowledge REF: Page 282-283 | Page 284 Table 12-1OBJ: 2 TOP: Reflexes KEY: Nursing Process Step: PlanningMSC: NCLEX: Health Promotion and Maintenance: Growth and Development29. The nurse takes into consideration that newborns are especially prone to dehydrationbecause of which aspects of their physiology? (Select all that apply.)a. Small glomerulib. Minimal renal blood flowc. Inactive gastrointestinal (GI) tractd. Excessive fluid loss from the sweat glandse. Immature renal tubules that do not concentrate urineANS: A, B, EThe newborns glomeruli are small and have only one third of the blood circulation of anadult, and they are unable to effectively concentrate urine. The GI tract is active. The infantssweat glands do not work effectively and allow very little fluid loss through sweat.
PRIMEXAM.COMDIF: Cognitive Level: Comprehension REF: Page 292 OBJ: 8TOP: Dehydration KEY: Nursing Process Step: PlanningMSC: NCLEX: Physiological Integrity: Growth and DevelopmentCOMPLETION30. The nurse in the nursery may use CRIES, PIPP, NIPS, or NPASS as a guide toassessment.ANS:painCRIES, PIPP, NIPS, and NPASS are all 10-point-scale pain assessment guides for infants.DIF: Cognitive Level: Comprehension REF: Page 287-288OBJ: 3 TOP: Pain Assessment GuidesKEY: Nursing Process Step: ImplementationMSC: NCLEX: Physiological Integrity: Basic Care and Comfort31. The nurse advises the nursing mother that the immune globulin that is found in breastmilk is.ANS:IgAIgA is an immune globulin that is found in breast milk.DIF: Cognitive Level: Knowledge REF: Page 300 OBJ: 8TOP: IgA KEY: Nursing Process Step: ImplementationMSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection ofDisease32. The nurse instructs the mother that when the neonates stool becomes loose and takeson a greenish-yellow color, this is normalstool.ANS:transitionThe transitional stool has lost its dark green meconium color and gradually changes to aloose greenish-yellow stool with mucus.DIF: Cognitive Level: Comprehension REF: Page 299, Figure 12-15OBJ: 8 TOP: IgA KEY: Nursing Process Step: ImplementationMSC: NCLEX: Physiological Integrity: Physiological Adaptation33. Prancing movements of the legs, seen when an infant is held upright on the examiningtable, are termed the.

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