Kimberly, age 3 years, is being admitted for about one week of hospitalization. Her parents tell the nurse that they are going to buy her “a lot of new toys, since she will be in the hospital”. The nurse’s reply should be based on an understanding of which of the following?

You are caring for a, 11-month old infant with a nasogastric tube. There is an order to administer a 30 ml formula feeding. Before administering a tube feeding to the infant, the nurse should:

The nurse is doing a health history on a child. At the beginning of the interview his mother says, “I brought him here because he always has diarrhea.” This should be recorded under which of the following headings?

An 18-month-old child has been returned to the nursing unit after an inguinal hernia repair. Which pain assessment tool should the nurse use to assess this child for the presence of pain?

The provider has just placed an internal uterine pressure catheter (IUPC) to monitor a laboring client.  The client asks the nurse what is different about an internal uterine pressure catheter (IUPC).  Which reply by the nurse is most appropriate?

An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler would be:

You are putting a pulse oximeter on your 10-month-old patient. The placement method that will achieve the best SaO2 reading is:

The nurse has performed the Leopold’s maneuver.  In step one, a firm round body part was felt that moved back and forth.  In step two, on the left side a smooth curved body surface was palpated while on the right side small bumps and “nubbies” were felt.  In step three, a soft body part was felt.  Step four, no cephalic prominence was identified on palpation.  Which of the areas marked on the clients abdomen will the nurse best be able to hear and record the FHR on the external fetal monitor?   

SITUATION: You are working at a hurricane shelter as a new registered nurse. A multiparous pregnant woman starts contracting. You note the following: full term by dates, contractions are every two minutes, and lasting 50 – 60 seconds. The woman continues to labor for almost 3 hours and delivered a term newborn with your assistance.  Which of the following would not be included in the documentation or notations of the delivery event?

A client that is 42 weeks gestation is in active labor.   Electronic fetal monitoring is initiated to provide documentation of both fetal heart and uterine contraction pattern. The nurse caring for the client fails to recognize recurrent late decelerations and loss of fetal heart rate variability (Category III).  The baby boy is born compromised.   Which of the following statements is true regarding liability in this case?