The infant of a diabetic mother is usually large for gestational age. After birth, glucose levels fall rapidly due to the absence of glucose from the mother. Option A is incorrect because the infant will not be small for gestational age. Option B is incorrect because the infant will not be hyperglycemic. Option D is incorrect because the infant will be large, not small, and will be hypoglycemic, not hyperglycemic.
The nurse with 3 years of experience in labor and delivery knows the most about possible complications involving preeclampsia. Option A: The nurse is a new staff to the unit hence lacking the experience needed. Options C and D: These nurses lack sufficient experience with a postpartum client.
The nurse could be charged with malpractice, which is failing to perform, or performing an act that causes harm to the client. Giving the infant an overdose falls into this category. Option A: Negligence is failing to perform care for the client. a tort is a wrongful act committed Option B: A tort is a wrongful act committed on the client or their belongings Option C: Assault is a violent physical or verbal attack.
The nurse decides to apply an external monitor because the membranes are intact. Options A, C, and D: The cervix is dilated enough to use an internal monitor, if necessary. An internal monitor can be applied if the client is at 0-station. Contraction intensity has no bearing on the application of the fetal monitor.
If the child has bacterial pneumonia, a high fever is usually present. Option B: Bacterial pneumonia usually presents with a productive cough, not a nonproductive cough. Options C and D: Rhinitis is often seen with viral pneumonia, and vomiting and diarrhea are usually not seen with pneumonia.
Dilation of 2 cm marks the end of the latent phase of labor. Option A is a vague answer. Option B indicates the end of the first stage of labor. Option C indicates the transition phase.
Exophthalmos (protrusion of eyeballs) often occurs with hyperthyroidism. Options A, B, and D: The client with hyperthyroidism will often exhibit tachycardia, increased appetite, and weight loss.
Clients with HIV should not breastfeed because the infection can be transmitted to the baby through breast milk. Options A, C, and D: The clients with diabetes, hypertension, and thyroid disease—can be allowed to breastfeed.
Infants of mothers who smoke are often low in birth weight. Option B: Infants who are large for gestational age are associated with diabetic mothers. Option C: Preterm births are associated with smoking, but not with appropriate size for gestation. Option D: Growth retardation is associated with smoking, but this does not affect the infant length.
Organizational structure provides information on the channel of authority, i.e., who reports to whom and with what authority; the number of people who directly reports to the various levels of hierarchy and the lines of communication whether line or staff.
This is usually not published and oftentimes concealed.
Tall organizations are highly centralized organizations where decision making is centered on one authority level.
Centralized organizations are needs only a few managers hence they are less expensive and easier to manage.
Authority is a legitimate or official right to give command. This is an officially sanctioned responsibility.
Providing a pair of hands for other units is not a purpose in doing an effective staffing process. This is a function of a staffing coordinator at a centralized model.
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NCLEX-RN Test #22
