low birth weight is defined as a newborns weight of

HESI LPN

HESI Leadership and Management Quizlet

1. Low birth weight is defined as a newborn's weight of:

A. 2500 grams or less at birth, regardless of gestational age.
B. 1500 grams or less at birth, regardless of gestational age.
C. 2500 grams or less at birth, according to gestational age.
D. 1500 grams or less at birth, according to gestational age.

Correct answer: A

Rationale: Low birth weight is defined as 2500 grams or less at birth, regardless of gestational age. This means that any newborn weighing 2500 grams or less is considered to have a low birth weight, irrespective of how many weeks they were in the womb. Choices B, C, and D are incorrect because they specify a weight of 1500 grams or less, which is not the standard definition of low birth weight. The correct definition is 2500 grams or less, not influenced by gestational age.

2. Which of the following is considered normal for the neonate?

A. Chest Circumference: 10 to 13 inches
B. Length: 16 to 22 inches
C. Weight: 1,500 to 4,000 g
D. Head Circumference: 12.6 to 14.5 inches

Correct answer: D

Rationale: A normal head circumference for a neonate typically falls within the range of 12.6 to 14.5 inches. Choice A is incorrect because the chest circumference for a neonate is usually smaller. Choice B is incorrect as the length of a neonate is typically shorter. Choice C is incorrect as the weight of a neonate is usually measured in grams and falls within a different range.

3. A nurse at a long-term care facility is planning a fall prevention program for the residents. Which of the following interventions should the nurse include?

A. Apply vest restraints to residents who are confused
B. Keep all four side rails up on beds at night
C. Accompany residents over 85 years of age during ambulation
D. Implement rounds every 2 hours during the day to offer toileting

Correct answer: D

Rationale: The correct answer is to implement rounds every 2 hours during the day to offer toileting. This intervention helps prevent falls by addressing the common cause of unassisted mobility, which is the need to use the bathroom. Choice A is incorrect as restraints should not be the first choice for fall prevention due to the risk of injury and loss of independence. Choice B is incorrect because all side rails up can lead to entrapment and should only be used based on individualized assessments. Choice C may not be feasible for all residents over 85 years old and does not directly address the risk of falls.

4. A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

A. A client who is at 32 weeks of gestation and has premature rupture of membranes
B. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor
C. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump
D. A client who has gestational diabetes and is receiving biweekly nonstress tests

Correct answer: C

Rationale: A nurse who floated from a medical-surgical unit would be appropriate to care for a client who is 1 day postoperative following a Cesarean section and has a PCA pump. This client requires monitoring of the postoperative incision site, pain management through the PCA pump, and assessment for any signs of complications related to the surgery. Assigning this client to an RN with experience in postoperative care aligns with providing specialized and appropriate care. Choices A, B, and D involve conditions or procedures specific to obstetrics that would be better managed by a nurse with obstetrical experience, making them incorrect choices for the floated RN.

5. Select the nursing theorist who is accurately paired with the theory or model of nursing that they are credited with.

A. The Twelve Nursing Problems: Faye Glenn Abdullah
B. The Nature of Nursing: Imogene King
C. The Goal Attainment Theory: Virginia Henderson
D. The Interpersonal Relations Model: Hildegard Peplau

Correct answer: D

Rationale: The correct answer is D. Hildegard Peplau is credited with the Interpersonal Relations Model in nursing. Faye Glenn Abdullah is associated with the Developmental Theory of Nursing. Imogene King developed the Theory of Goal Attainment. Virginia Henderson is known for the Definition of Nursing. Therefore, among the given options, only Hildegard Peplau is correctly paired with the Interpersonal Relations Model.