Which Actions Are Appropriate When the Nurse Is Performing General

question 14

Multiple Choice

Which actions are appropriate when the nurse is performing general observations during the assessment process for an infant? Select all that apply.

• A) Asking the family how they are adjusting to having the infant in the home
• B) Monitoring the parents for clinical manifestations associated with fatigue
• C) Assessing for behaviors that indicate appropriate bonding
• D) Placing the infant on the scale for a weight and length assessment
• E) Auscultating heart and lung sounds while the infant is asleep

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Definitions:

Systolic

Pertaining to the phase of the heartbeat when the heart muscle contracts and pumps blood from the chambers into the arteries.

Diastolic

Refers to the phase of the heartbeat when the heart muscle relaxes and allows the chambers to fill with blood, specifically noted as the bottom number in blood pressure readings.

Hypertension

A condition characterized by consistently elevated blood pressure levels, often leading to significant health risks.

Vessel Walls

The structural components that form the boundaries of blood vessels, such as arteries and veins, responsible for regulating blood pressure and flow.