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13. After placing a 36-week-gestation newborn in an isolette and drying the infant with several blankets, what should the nurse implement next? A Remove the wet blankets and linens from the isolette. B Administer the vitamin K injection. C Place erythromycin ophthalmic ointment in both eyes. D Open the isolette door to assess the infant’s vital signs. 27. The nurse begins collecting the medical history of a child when the child screams and tries to hide behind the parent, dropping a stuffed toy. Which intervention should the nurse implement? A Obtain the essential information as quickly as possible. B Document interactions between the parent and the child. C Ignore the child’s behavior, directing questions to a parent. D Include the child’s toy in the collection of information. 37. The nurse is planning a class for pregnant women in their first trimester of pregnancy. Which information is most important for the nurse to include in this class? A If morning dizziness occurs, rise slowly and sit on the side of the bed for one minute. B Plan rest periods and increase sleep time to 8 hours per day when fatigued. C If any vaginal bleeding occurs, notify the healthcare provider immediately. D Since eating often relieves nausea, carry low-fat snacks to eat whenever nausea occurs. 59. After delivery of a normal infant, the mother tells the nurse that she would like to use oral contraceptives. Which finding in the client’s health history is a contraindication to the use of oral contraceptives? A Smoked cigarettes prior to becoming pregnant. B Previously used an intrauterine device (IUD). C Diagnosed with diabetes mellitus 2 years ago. D Reported history of stroke within the family. 65. The nurse plans to administer a vitamin B12 injection to a school-aged child. Which intervention should the nurse implement? A Allow the child to choose among age-appropriate injection sites. B Apply topical anesthesia ten minutes prior to injection. C Select an abdominal subcutaneous site to enhance absorption. D Ask the child to stand to access the ventrogluteal site. 66. When assessing a pregnant woman at 39-weeks gestation who is admitted to labor and delivery, which finding is most important to report to the health care provider? Urine Protein (Reference Range: undetectable] A +1 pedal edema. B 101.2°F (38.4° C) oral temperature. C +1 proteinuria. D 130/70 mm Hg blood pressure. 72. A breastfeeding primigravida woman reports sore nipples on the second day postpartum. Which action is best for the nurse to take? A Assess the infant’s position while feeding. B Apply lanolin cream to the breasts after each feeding. C Assess the number of times the infant feeds daily. D Apply a cold compress to the breasts after each feeding.

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