Stand and Deliver Essay Example for Free

Stand and Deliver Essay In the movie Stand and Deliver, directed by Ramon Menendez, Mr. Escalante who starts teaching math at a poor high school meets several difficulties at the beginning of the movie. When Mr. Escalante is driving down the street on his way to Garfield High School, he begins to notice dirty walls that are full of graffiti, closed shops, gang members, and poor people. When Mr. Escalante arrives at the school, he notices that there is no order in the hallways. Such as students are late for classes, and they are disrespectful to teachers. Mr. Escalante is supposed to be a computer teacher at Garfield High School; however, he is told that this high school does not have any computers. As the result, he becomes a math teacher who is determined to â€Å"change the system and challenge the students to a higher level of achievement. † Mr. Escalante is at first not well liked by students, receiving an immense amount of laughs and tricks. The reason is that students in this high school focus more on entertainment rather than academics. All those tough situations do not defeat Mr. Escalante. He finds his way to solve them step by step. He does not react on the first day, letting the students talk back and throw paper at him. The next day he comes to class with a butcher’s knife and an apron on in order to get the class’s attention. He whacks a huge chunk of an apple out in front of the whole class, which immediately gets the students’ full attention and he begins.

The Types of Skiing Essay -- Classification Descriptive Ski Sports Ess

  Ã‚  Ã‚  Ã‚  Ã‚  Every four years in the Winter Olympics, we see professional athletes compete in many areas ranging from downhill skiing to high-speed bobsledding. We see the professionals demonstrate their spectacular abilities, and we try to emulate them in our own activities. In the Olympics, cross-country and downhill skiing are two very popular sports, and even non-professionals can get into them. In this essay I will classify the various types of skiing into three categories and inform you about each.   Ã‚  Ã‚  Ã‚  Ã‚  The first type of skiing that I will discuss is cross-country skiing. As its name implies, cross-country skiing consists of horizontal travel across flat land and relatively few hills. Cross-country skis are not optimized for speed, but instead for easier long distance travel. This type of skiing is also the least expensive of the three types and has recently been gaining many new enthusiasts. A decent quality cross-country ski package would cost around $150. As for choosing equipment, the skier should pick out poles that are as tall as his shoulders. (For most people this would mean a 140 cm to 150 cm pole.) Skis come in three common sizes, 190 cm, 210, cm and 240 cm, and the proper length depends on the height of the person. To determine the size needed, the person should hold his hands above his head and choose the ski that most closely approximates the distance from the base of his palm to the floor. The following table gives some guidelines as to which ...

Data Analysis And Discussion Science Fair

Daphnia died on day seven in trial two. In a pH of five the Daphnia survived for six day s In trial one and six days in trial two. Len the pH of twelve the Daphnia survived for five days in trial one and in trial two the Daphnia survived for six days. ; The Daphnia survived less than a week under the strong acids and bases because Daphnia can easily become stressed under different conditions like t he pHs.The water tanks had an increase in Compounds that form H+ ions in the water ankhs (acids; pH of three and five) and an increase Compounds that form OH ions (basis; pH of twelve) as our classed has learned about this in the biochemistry unit. The reason why people would care about our data results and experiment is t hat the Daphnia and the the different pHs are just a representation of what can happen in the real world as aquatic habitats and ecosystems can be critically impacted as different forms Of acids, such as acidic rain and bases and can kill not just Daphnia but also other aquatic organism due to human activity.As w as inform people how vital pH can affect an entire habitat and even ecosystem Our hypothesis was valid because we proved that testing Daphnia in a strong pH (three and five) and a strong acid (twelve) the survival rate of the Daphnia would drop, which did as the Daphnia continued to day from day to day as the e acids and bases caused it harm. The relationship between the Daphnia and the level of independent variable was seen as we put the Daphnia in different pHs and saw that died in different WA

Global Marketing - 4353 Words

Module Handbook International Marketing Table of Contents 1. General 1 2. Overview of Module and Module Descriptor 1 3. Assessment Criteria and Marking Guidelines 3 3.1 Assessment Timetable 4 4. Schedule of Work / Topics 5 5. Communication 6 6. Support for Your Learning 7 6.1 Specific Support Materials for Module 8 7. Developing Good Academic Practice 10 8. Student Charter 12 9. Complaints and Appeals 12 10. Module Feedback from Previous Students 13 General General guidance and information on the university experience for all students can be found in the Student Handbook, which is available online via http://www.bradford.ac.uk/study/new-students/. Overview of Module and Module Descriptor This document outlines key†¦show more content†¦2. To develop skills in researching and analysing international marketing opportunities. 3. To gain an understanding of how to assess an organisations ability to enter and compete in international markets. Learning Teaching and Assessment Strategy: Lectures supported by practical examples from videos, case studies and guided reading. Formative feedback will support the development of knowledge through worked case studies. Personal skills will be enhanced by practical application work. Final assessment will require students to demonstrate the ability to apply and critique models in contemporary international marketing. Study Hours: Lectures: Seminars/Tutorials: Laboratory/Practical: | 12.006.00 | Directed Study: Other: Formal Exams: | 80.00.002.00 | Total: | 100.00 | Learning Outcomes 1. Knowledge amp; Understanding On successful completion of this module you will have developed an understanding of major issues related to international global marketing theory. 2. Subject-Specific Skills On successful completion of this module you will have developed skills in researching and analysing trends in global markets and in modern marketing practice. 3. Personal Transferable Skills On successful completion of this module you will have refined your team-working, analytical,Show MoreRelatedGlobal Marketing5709 Words   |  23 Pagesï » ¿ Global Marketing Plan Yve Franks MKT/562 Executive Summary Gambit Sports Outreach Program is designed to reach the children and the residents of Haiti. Gambits purpose is to develop a nonprofit sports soccer facility that focuses on educating the whole person through education, nutrition and sports. Children are in important part of our future and Gambit wants to be able to help Haiti andRead MoreGlobal Marketing Of Starbucks : Marketing1571 Words   |  7 PagesGlobal Marketing of Starbucks The Starbucks brand was founded in 1971 in Seattle, when an English teacher Jerry Baldwin, a History teacher Zev Siegl, and a writer Gordon Bowker decided to open their own coffee shop. Now, Starbucks is the most successful coffee company in the world that serves coffee in 65 countries in more than 23000 stores. Among professional young adults, Starbucks is the brand of coffee shop that makes coffee-drinking experience unique because of its high-quality service. In theRead MoreGlobal Marketing2537 Words   |  11 PagesCritically analyse and evaluate the global macro environmental variables that are likely to have the most significant impact on your company. Introduction Fairmont Hotels and Resorts (Fairmont) is operating and competing in the hospitality industry, which has been affected vastly by the impact of global financial crisis, terrorist attacks, globalisation of the hospitality and tourism industry, the uncertainty surrounding the sovereign dept of some countries in EU, development of emerging marketsRead MoreGlobal Marketing Management1172 Words   |  5 PagesGlobal marketing management first involves the same elements as any type of marketing management and then must take into account the different requirements of the global marketplace, the different opportunities, and the pitfalls that must be avoided in this developing arena. Deciding what works and what does not and seeing to it that the company follows what works is the job of the marketing manager. While the purpose of marketing is the same in the global marketplace as in the domestic marketRead MoreGlobal Strategy : Global Marketing927 Words   |  4 PagesGlobal strategy: Global strategy is considered as a detailed plan on how an organization or a firm can be successful marketing its products or services at global level to enhance business growth, and increase profit margin (Lynch, 2014). Organizations or firms will have many reasons why its imperial for the businesses to penetrate or enter global market, some of these reasons will include to increase profit margin, increase sales, expand the scope of the business at a global scale, and increase marketRead MoreThe Principles Of Global Marketing1632 Words   |  7 PagesThe principles of global marketing Introduction Global marketing, which is a theory about the worldwide merchandising strategy, establishes the basement of marketing. As globalization is combined with diverse cultures from the whole world, costumers have different demands which have to achieve by businesses. In addition, the strategy of global marketing is necessary for companies to develop new markets. This assignment will firstly explain what global marketing is. After that, it will confer strategyRead MoreGlobal Marketing Strategy2178 Words   |  9 Pagesthose which need to be customized. Japanese companies such as Sony and Matsushita have been quite successful in marketing standardized versions of their consumer electronics products. These companies had limited resources during their early days of globalization and identified features which were universally popular among customers across the world. Global economies of scale helped them to price their products competitively. At the same time, these companies laid great emphasis onRead MoreGlobal Marketing And For A Company Essay1999 Words   |  8 PagesAbstract To understand global marketing and for a company to be success on an international level it is important to look into various aspects of marketing. A company must do extensive research into the foreign country they are looking into entering to determine if their company and/or product(s) will be successful. A business must go through their current marketing mix and decide if it should make adjustments to their product, the price, the distribution method, and the promotional strategy toRead MoreMarketing in the Global Economy1844 Words   |  8 PagesMarketing in the Global Economy Marlene Garay AIU Online Abstract In today’s world of constant change and technological advancements, it is imperative that marketers stay up to date and ready to tackle and challenges. Companies are battling neck to neck in order to make sure the products they offer are available and in the consumers mind. Not only do they have to be concerned about the local target audience. Now the reach is worldwide and the target audience can be a eclectic mix of racesRead MoreGlobal Marketing Strategies1846 Words   |  8 PagesTwo opposite viewpoints for developing global marketing strategy are commonly expounded. According to one school of thought, marketing is an inherently local problem. Due to cultural and other differences among countries, marketing programs should be tailor-made for each country. The opposing view treats marketing as know-how that can be transferred from country to country. It has been argued that the worldwide marketplace has become so homogenized that multinational corporations can market st andardized

My Current Level Of Critical Thinking And How Can It Be...

As a Physical Therapist (PT), I will play a variety of roles while working with patients and their families. A few of these roles will include; health care provider, teacher and motivator. The skills I must possess in order to be successful at these roles consist of; the ability to use and develop critical thinking, formation of patient objectives, comprehension of learning processes, the proper use of constructivism and an understanding of how the field of Physical Therapy has changed. With this paper, I will demonstrate my knowledge of these topics while answering the following questions: What is critical thinking and how can it be used in Physical Therapy? What is my current level of critical thinking and how can it be improved? What are the objectives of a course you would like to teach? What domain of Bloom’s taxonomy is used with these objectives? What is constructivism? Is it a valid theory? Who is Elizabeth Kenny? What information about the progression of the field do you feel would be important to her? So what is critical thinking and how is it used in Physical Therapy? Critical thinking is defined as, â€Å"a mode of thinking — about any subject, content, or problem — in which the thinker improves the quality of his or her thinking by skillfully analyzing, assessing, and reconstructing it†, according to The Critical Thinking Community. Meaning, critical thinking is systematic and requires the individual to first be aware of their way of thinking, in order to improveShow MoreRelatedStages of Critical Thinking998 Words   |  4 Pagesï » ¿Associate Level Material Stages of Critical Thinking Stages of Critical Thinking Complete the matrix by identifying the six stages of critical thinking, describing how to move from each stage to the next, and listing obstacles you may face as you move to the next stage of critical thinking. Stages of critical thinking How to move to the next stage Obstacles to moving to the next stage EXAMPLE: The Unreflective Thinker Examine my thinking to identify problems that affect my thinkingRead MorePracticing Strategic Thinking : Critical Thinking1664 Words   |  7 PagesPracticing Strategic Thinking Critical thinking is not the ability to be able to memorize a lot of information, rather the ability to be presented with any particular set of data and be able to put logical relations between thoughts. This is not something that requires muscle memory to attain, but being able to strip away preconceptions in one’s viewpoint to analyze the data thoroughly without bias. Much like any skill or talent, you become better at them, the more you do them and with increasingRead MoreWhat I Learned About Personal Motivation993 Words   |  4 PagesMotivation The MBTI (Myers-Briggs Type Indicator) has given me insightful information over 4 different dichotomies: 1)Where I focus my attention 2) How I take in information 3) How I make decisions based on the information and 4) How I deal with the world. After completing the assessment, I was dubbed ‘INTJ’. This being 9% Introvert, 38% iNtuitive, 3% Thinking, and 31% Judging. To my surprise, after reading the detailed report, I found most of the information presented, to be ‘spot on’. According to theRead MorePersuasive Speech : School Officials Should Focus And Advocate For Visual And Music Art Based Programs1516 Words   |  7 PagesSN# xxx, YJT Task 1 (0615) Purpose: The purpose of this presentation is to persuade my audience that school officials should focus on and advocate for visual and music art based programs, making them a continued part of the school curricula because such programs facilitate the learning process for all students and should never be eliminated. Also, art based programs provides a well-rounded education and levels the playing field for at risk youths that are socioeconomic disadvantaged. Reports conductedRead MoreEssay on The Impact of the Iom Report on Nursing Education732 Words   |  3 Pagesreport, it is crucial that nurses achieve higher levels of education and training in order to prepare themselves for the dynamic work environment in which they will participate (IOM Forum on Future of Nursing Summary, 2010, para 1.) Higher nursing degrees provide nurses with more critical thinking skills; this will create efficiency and improved quality of care for the patient. In order to increase nursing competence, it is paramount that there is an improved education system that promotes continuous academicRead MoreMba Level Decision Making : Tools For Managerial Decisions1736 Words   |  7 Pages MBA Level Decision Making Tools for Managerial Decisions, Assignment # 5 Nida Ahmed Concordia University, ST. Paul MBA level decision making MBA level decision making involves individuals making decisions based on the highest level of conceptual understanding. MBA level decision makers prefer impact rather than technique and want to be sound rather than clever. They think all the way from strategic through generic information and find facts in every solution they come up withRead MoreImpact of the Iom Report1178 Words   |  5 Pagesa diverse population of individuals while promoting disease prevention and wellness at the same time (Robert Wood Johnson Foundation, 2011). This paper will discuss how the IOM report will continue to have an impact on changes regarding nursing education, primary care practice, and leadership roles in nursing. The current health care system was molded around caring for individuals in acute care illness and injury situations, but as time evolves and the population ages, we have begun toRead MoreMy Business Quality Management Degree Program1433 Words   |  6 PagesMy Business Quality Management degree program has prepared me for the business world and enabled me to not just understand business processes from quality perspectives but also improve those for driving organizational change through quality improvement. The Southwestern core curriculum has prepared me to advance in my career options. My degree has helped me develop business management skills as well as improved my ability to offer ideas and insight into best practices. With my degree, I have theRead MoreComputer Technology : The Concepts Of Safety-Critical Software1748 Words   |  7 PagesI tend to agree with John about the overall topics of the article. The concepts of safety-critical systems goes far beyond our belief. With the increase of technology in the 21st century, the idea of most modern machinery being developed or operated by a computer has become the defined norm. In the process of developing safety-critical software, there is the common assumption that the program will be tested thoroughly for life threating errors. As such, effective communication among developers mustRead MoreThe Impact Of Postpartum Depression In The Yellow Wallpaper1215 Words   |  5 Pages Short Stories normally address issues in society at the current time of the story which these issues sometime end up being timeless issues that still occur in the current time period. For instance, in â€Å"The Yellow Wallpaper† by Charlotte Gilman the story deals with the issue of postpartum depression in new mothers. While postpartum depression is still a very real and current topic in today’s society. Current society handles the issue differently than when the â€Å"The Yellow Wallpaper† was written.

Cognitive Ability and Emotional Intelligence - 2663 Words

Cognitive ability and emotional intelligence Cognitive ability (cognitive intelligence) entails using ones own intellect faculties such as reason, logic analyzing, writing skills, analyzing skills and reading skill and prioritizing skills. These skills are internal and they are not connected to ones ability to understand and incorporate others. Using cognitive skills can very well solve a mathematical problem; write an easy; or arrive at some conclusion based on the facts collected and analyzed ADDIN EN.CITE Cavazotte2012466(Cavazotte, Moreno, Hickmann, 2012)46646617Cavazotte, FlaviaMoreno, ValterHickmann, MateusEffects of leader intelligence, personality and emotional intelligence on transformational leadership and managerial performanceThe Leadership QuarterlyThe Leadership Quarterly443-4552332012NetherlandsElsevier Science( HYPERLINK l _ENREF_4 o Cavazotte, 2012 #466 Cavazotte, Moreno, Hickmann, 2012). Emotional intelligence describes understanding individual and other persons emotions and incorporating them to bring out the best out of a situation. Emotional intelligence affords one an opportunity to control likely outcome, by managing and working well with others as well as alone. One with emotional intelligence is capable of understanding their own emotions regulating them for the purpose of fruitful relation ADDIN EN.CITE Cavazotte2012466(Cavazotte et al., 2012)46646617Cavazotte, FlaviaMoreno, ValterHickmann, MateusEffects of leader intelligence,Show MoreRelatedCognitive Intelligence vs Emotional Intelligtence in Modern Organizations1581 Words   |  7 PagesGeneral intelligence can be defined as â€Å"the general efficacy of intellectual processes† (Ackerman, Beier, and Boyle, 2005). In relation to modern organizations, it is generally believed that individuals with higher intelligence are more desirable as they will have higher task performance; this belief has been h eld for more than 90 years (Viswesvaran and Ones, 2002). Furthermore, general intelligence can be divided into two different sets of abilities as Cognitive Intelligence and Emotional IntelligenceRead MoreEmotional, Emotional And Emotional Intelligence1666 Words   |  7 PagesEmotional intelligence is ‘the ability to perceive emotions, to access and generate emotions so as to assist thought, to understand emotions and emotional knowledge, and to reflectively regulate emotions so as to promote emotional and intellectual growth’ (Mayer Salovey, 1997). Emotional Intelligence is the ability to understand, accept and recognize our own emotions and feelings, including their impact on ourselves and other people and to use this knowledge to improve our own behaviours as wellRead MoreEmotional Intelligence Paper733 Words   |  3 PagesEmotional Intelligence Paper There is no total compromise on the definitions of emotional intelligence and cognitive intelligence, only varying views that identify how the two concepts differ. As Daniel Goleman puts Emotional intelligence in five sectors; managing ones own emotions, motivating oneself, recognizing, and understanding other peoples emotions and managing relationships (2006), whereas cognitive intelligence is one’s intellect with reasoning, analyzing, logic and prioritizing. WithRead MoreIndividual Success and Importance of EI and CI1587 Words   |  7 Pageslimited to emotional intelligence, cognitive intelligence, proactive personality and level of commitment. The topics of emotional intelligence and cognitive intelligence are popular for the researchers in the last few decades (Rao 2006). There are number of notations and abbreviations used for both such as CI, IQ, EI and EQ. This essay will use the abbreviations of EI and CI for emotional intelligence and cognitive intelligence respecti vely. Kreitner and Kinicki (2013) refer to EI as the ability to manageRead MoreStudies in Emotional Intelligence1467 Words   |  6 Pagesthe concept of emotional intelligence, and with that growth is a gap between what we know and what we need to know. In the article, Emotional Intelligence: Issues and Common Misunderstandings, Robert J. Emmerling and Daniel Goleman inquire as to what emotional intelligence is, how it differs from other established constructs within psychology, whether or not it can be developed, whether or not it can be a better predictor of work performance than traditional measures of intelligence, whether or notRead More Studies in Emotional Intelligence Essay1445 Words   |  6 PagesStudies in Emotional Intelligence There is a growing interest in the concept of emotional intelligence, and with that growth is a gap between what we know and what we need to know. In the article, Emotional Intelligence: Issues and Common Misunderstandings, Robert J. Emmerling and Daniel Goleman inquire as to what emotional intelligence is, how it differs from other established constructs within psychology, whether or not it can be developed, whether or not it can be a better predictor of workRead More Psychological Development Essay624 Words   |  3 Pages Psychological development is the development of a person’s emotional, intellectual, cognitive, and social capabilities and functions that they acquire throughout their lifetime. This starts from birth and carries on until death, but how does pregnancy affect the development stage? There are many myths that when women become pregnant their cognitive capabilities begin to decrease and the mother suffers from ‘baby brain’ or ‘placenta br ain’. Scientists are interested in this and some wondered whatRead MoreThe Understanding Of An Individual Culture Background1370 Words   |  6 Pages We know that culture intelligence is related to cross-culture competence. The understanding of an individual culture background. My key objective is that people fail to adjust to understand new cultures, behavioral, cognitive, and motivational aspect of other cultures. Before anyone goes to a foreign country for a new job, living or visiting, we should educate ourselves before taking that journey. We know going to another country can be scary, but we can learn new things from them and they can learnRead MoreIntellectual And Emotional Skills Of Practicing Music765 Words   |  4 PagesINTELLECTUAL AND EMOTIONAL SKILLS Practicing music affects human brains by improving intellectual and emotional skills. When a person plays an instrument, certain parts of the brain which are involved in controlling memory, hearing and motor skills are activated. In training music, a huge load of memory is required because a brain has to receive complicated auditory input. Therefore, the capacity to memorize expands and increases effectively (Spray, 2015). Songs don t only help kids memorize alphabetsRead MoreEmotional Intelligence And Effective Leadership Essay1144 Words   |  5 PagesEmotional Intelligence and Effective Leadership The correlation between emotional intelligence (EI) and leadership skills is gaining interest among scholars and business leaders. These professionals are interested in determining how understanding and managing emotions of the self and others affects leadership skills. Moreover, scientists and business professionals are interested in understanding the elements of emotional intelligence. To this end, the concept of emotional intelligence integrates

Healthy Newborn free essay sample

Drying the infant quickly and placing her under a radiant warmer reduces heat loss through evaporation and radiation. C)  Newborns in an incubator are more difficult to access than those in a radiant warmer. INCORRECT Although a radiant warmer allows healthcare personnel easy access to the infant, that is not the reason for its use in this situation. D)  Bonding is promoted by enhancing the infants appearance. INCORRECT Drying and warming do not necessarily enhance the infants appearance or promote bonding. 2. Which action should the nurse take prior to drying the infants back? A)  Note if the infant has passed any meconium stool. INCORRECT Although this observation is important, it is not related to drying the back. B)  Observe the sacral area for possible Mongolian spots. INCORRECT Mongolian spots are normal variations in the pigment of the skin, and they do not hinder drying the back. C)  Assess the amount and location of vernix caseosa. INCORRECT The amount of vernix caseosa is related to gestation age, but is not related to drying the back. D)  Inspect the back for possible neurological defects. CORRECT To prevent harm while drying the newborn, the back should always be inspected for possible neurological defects, like spinal bifida. At 1 minute of age, the infant is crying and has a heart rate of 160 and a respiratory rate of 58. Both of the infants arms and legs are flexed, and her hands and feet are cyanotic. 3. Which APGAR score should the nurse assign? A)  10. INCORRECT Review the findings again. B)  9. CORRECT One point is deducted for acrocyanosis. C)  8. INCORRECT Review the findings again. D)  7. INCORRECT Review the findings again. The nurse conducts a physical assessment of the infant looking for normal as well as abnormal findings. 4. Upon inspection of the  umbilical cord, which finding should the nurse report to the healthcare provider? A)  The cord is covered with Whartons jelly. INCORRECT This is a normal finding. B)  Pulsations are felt at the base of the cord. INCORRECT This is a normal finding. C)  One artery and one vein are present. CORRECT Two arteries and one vein should be present. D)  The cord is glistening with a pearl-like coloring. INCORRECT This is a normal finding. The Carson babys head is molded from the vaginal delivery. Upon seeing the baby, Ms. Carson says, Oh, she is so beautiful, but something is wrong with her head. 5. How should the nurse respond? A)  No nothing is wrong with her head. She really is a beautiful baby. INCORRECT This response does not fully address the mothers concern. B)  Yes, it is misshaped, but we will show you how to change it over time. INCORRECT Parents can be taught to change an infants sleeping positions to correct a misshaped head, but this is not the best response. C)  Her head has been molded from delivery through the birth canal, which is normal. CORRECT Molding commonly occurs in babies delivered vaginally, and the head will become more symmetrical over time. D)  I know you are concerned. Would you like to talk further with the midwife? INCORRECT Acknowledging Ms. Carsons feelings is a thoughtful response, but referral to the midwife is not necessary. Ms. Carson is offered the opportunity to  breastfeed. After securing a comfortable position for herself and the baby, Ms. Carson puts the infant to her breast. The baby latches onto the nipple, and with some encouragement, she begins to nurse. After a time of family interaction, Ms. Carson is taken to the postpartum unit, and the infant is transferred to the transition care nursery. Transition Care The  nurse checks  the identification bands for both the baby and the mother upon  admission  to the nursery. One ID number is incorrect. 6. Which action should the nurse take to solve this problem? A)  Document the presence of the incorrect number on the charts for the baby and the mother. INCORRECT Although the nurse should probably document the discrepancy, it does not solve the problem. B)  Explain to the mother that there is an incorrect number on one of the bands. INCORRECT Although an explanation should be given to the mother, that will not solve the problem. C)  Redo the identification bands with another nurse witnessing the process. CORRECT Identification bands must be correct to ensure the safety and security of all hospitalized clients, especially newborns. D)  Mark the incorrect numbers in red to denote the correction made to the bands. INCORRECT This is not the proper action for the nurse to take to solve this problem. Upon admission to the transition care nursery, the Carson babys axillary temperature is 97. 4 ° F. 7. Which action should the nurse take? A)  Continue monitoring and document this finding in the record. INCORRECT Another action should be taken in this situation. B)  Place the infant in a radiant warmer and monitor her temperature. CORRECT The babys temperature is not within normal range (97. 5 °-99 ° F). The infant should remain in the radiant heat warmer until her temperature has stabilized. C)  Remove a blanket from the infant and check the temperature again. INCORRECT This action will make the situation worse, not improve it. D)  Notify the healthcare provider immediately about the temperature. INCORRECT The nurse is capable of providing care to remedy this situation. It is not necessary to notify the healthcare provider. Newborn Assessment While examining the infants head, the nurse notes soft swelling of the scalp that extends across the suture lines of the fetal skull. 8. Which action should the nurse take in response to this finding? A)  Document the finding in the record. CORRECT This finding indicates caput succedaneum, which commonly occurs after a vaginal birth. B)  Monitor the tension of the anterior fontanel. INCORRECT Although the anterior fontanel should be monitored, it is not related to this finding. C)  Report the finding to the healthcare provider. INCORRECT It is not necessary to report this finding to the healthcare provider. D)  Apply cool compresses to prevent more swelling. INCORRECT Applying cool compresses is not the proper action for the nurse to take. The nurse notes a bluish discoloration of the skin across the infants sacral area. 9. Which should the nurse do in response to this finding? A)  Assess the infant for cold stress. INCORRECT An overall mottled appearance is usually more indicative of cold stress. B)  Refer the parent to the care of a pediatric specialist. INCORRECT A referral to a pediatric specialist is not necessary as a result of this assessment. C)  Document this finding in the record. CORRECT This bluish discoloration of the skin is a birthmark, commonly referred to as Mongolian spots. They are merely a dense collection of normal skin cells deep in the skin. This is a common finding, which should simply be noted in the babys record. D)  Evaluate the infants neurological status. INCORRECT It is not necessary to further evaluate the infants neurological status based on this finding. However, tufts of hair or dimples in the sacral area might indicate a need for a more in-depth neurological evaluation. 10. Which physical finding, if present, should the nurse report to the  healthcare  provider? A)  Presence of unopened sebaceous glands. INCORRECT These pinhead-size whiteheads on the newborn are referred to as milia, and they usually disappear without treatment. Their presence does not need to be reported. B)  Loose natal teeth that are not covered by the gums. CORRECT Natal teeth present at birth is an unusual occurrence that should be reported to the healthcare provider. Loose natal teeth are frequently removed to prevent aspiration. C)  White, cream cheese-like substance on skin. INCORRECT This substance is vernix caseosa, which covers and protects the fetus from the amniotic fluid in utero. Because its presence on the infant at birth is normal, this finding does not need to be reported. D)  Enlarged breasts secreting a thin, watery discharge. INCORRECT This temporary condition in the newborn is caused by the influence of the mothers hormones on the fetus prior to birth. The secretion is often referred to as witchs milk. This is a normal finding that does not need to be reported. 11. When examining the babys extremities, which finding would warrant additional assessment by the nurse? A)  Toenails blanch with pressure and quickly refill. INCORRECT This is a normal response that does not require additional assessment. B)  Feet that turn in, but can be manipulated to midline. INCORRECT This is a normal finding that does not require additional assessment. C)  Hands are plump and clenched into fists. INCORRECT This is a normal finding and does not require additional assessment. D)  Limited hip abduction in the supine position. CORRECT Because this finding could indicate developmental dysplasia of the hip, formerly known as congenital hip dislocation, additional assessment is warranted. 12. Which finding by the nurse is consistent with an infant born at 39 weeks gestation? A)  Presence of abundant lanugo hair across face and back. INCORRECT A baby born at 39 weeks gestation has minimal lanugo hair, which is the soft prenatal hair that is shed during the last few weeks of pregnancy. B)  Plantar creases covering the entire sole of foot. CORRECT This finding is consistent with a baby born at 39 weeks gestation. C)  Slightly soft, curved pinna with slow recoil. INCORRECT The ear of a baby born at 39 weeks gestation should be well formed and firm with instant recall. D)  Skin is smooth and pink with visible veins. INCORRECT This finding is more consistent for an infant with an earlier gestational age. Continued Transition Care A nursing student is assisting the RN in caring for the infants in the nursery. The RN questions the student  about vitamin  K (Aqua MEPHYTON) as preparations are made for administration. 13. Which response by the student indicates an understanding of the purpose for administering this drug? A)  The purpose of this drug is to prevent hyperbilirubinemia in the newborn. INCORRECT Further teaching is needed because vitamin K does not prevent hyperbilirubinemia. B)  Vitamin K is a fat-soluble vitamin and promotes a positive nutritional status. INCORRECT This is not the primary reason for giving vitamin K. C)  This drug is given to the newborn to prevent and/or treat hemorrhagic disease. CORRECT Because this vitamin does not cross the placenta and there is very little in breast milk, supplemental vitamin K should be given to newborns at birth to help clot the blood. Therefore, this is an accurate response by the student and no further client teaching is needed. D)  Vitamin K is produced and stored in the liver, which is immature in the infant. INCORRECT Vitamin K is produced in the gut, but stored in the liver. The nurse is preparing to give the baby her first bath. 14. Which assessment data indicates that it is safe for the baby to be given her bath at this time? A)  Respiratory rate of 46. INCORRECT This respiratory rate is high-normal and will rise with the activity of bathing. B)  Axillary temperature of 98 ° F. CORRECT A bath may potentially lower the temperature, which will not be harmful because the core temperature is near 99 ° F. C)  Apical heart rate of 160. INCORRECT This heart rate is high-normal and will rise further with the activity of bathing. D)  Pulse oximeter of 90%. INCORRECT This value is below normal and could become lower with the activity of bathing. At 2400 hours the infant is crying, her skin is mottled, and her hands are shaking. 15. Which action should the nurse take first? A)  Assess the infants respiratory efforts. INCORRECT Assessing the respiratory efforts of the infant is unnecessary since the infant is crying, and crying is a good indicator of respiratory effort. B)  Monitor the blood glucose level. CORRECT Since it has been 2 hours since delivery, the infant may be experiencing hypoglycemia. C)  Give the infant some formula. INCORRECT Because this infant is breastfeeding, an attempt should be made to let her nurse before offering the formula. D)  Evaluate for possible seizures. INCORRECT The infant is not exhibiting any signs associated with seizures. Rooming-In The babys vital signs have stabilized by 0100 hours. Upon completion of assessment and documentation, the nurse takes the baby to Ms. Carson who wants to breastfeed and room-in with the baby. After checking the ID bands, the infant is positioned for breastfeeding. The nurse checks on Ms. Carson and the baby at 0200 hours. Both are asleep in the bed, with the baby lying beside Ms. Carson. 16. What should the nurse do next? A)  Pick up the baby and return her to the crib while letting Ms. Carson sleep. INCORRECT Although returning the baby to her crib is the proper response, this action is incomplete. B)  Wake Ms. Carson and remind her that keeping the baby in the bed is unsafe. INCORRECT Although waking Ms. Carson is the proper response, this action is incomplete. C)  Tell Ms. Carson that the baby must be returned to the nursery for safety reasons. INCORRECT Although the baby can be returned to the nursery if Ms. Carson is too tired to care for her, there is a better response in this situation. D)  Remind Ms. Carson about infant safety and assist her to place the infant in the crib. CORRECT This action protects the baby while reinforcing teaching to the mother. When returning the baby to the crib, the nurse notices that the blanket covering the baby is loose, and the cap is off her head. The nurse takes the babys temperature, which is 97. 6 ° F. 17. Which should the nurse do next? A)  Bundle the baby and place the cap on her head. INCORRECT Although this would help the baby, another action is more effective. B)  Cover the baby with a blanket, but leave the cap off. INCORRECT This action is incomplete. C)  Show Ms. Carson how to wrap the baby for warmth and apply the cap to her head. CORRECT This action not only protects the baby, but also involves and teaches the mother. D)  Immediately take the baby and place her under a heat source. INCORRECT Other actions should be done first. The nurse checks on Ms. Carson and her baby every 2 hours throughout the night. The baby is breastfed at 0300 and 0600 hours without difficulty. After the change of shift report at 0700 hours, the day nurse assesses the mother and baby. Ms. Carson states that the baby had a bowel movement after breastfeeding. She tells the nurse that she attempted to change the diaper, but had difficulty doing so. 8. What action should the nurse implement? A)  Reassure Ms. Carson that she will get plenty of practice. INCORRECT Ms. Carsons statement implied a need that should be addressed by the nurse. B)  Observe Ms. Carson as she performs a diaper change. CORRECT This approach helps the nurse evaluate the problems Ms. Carson is experiencing so the most effective teaching can be provided. C)  Pl ace the baby on the bed and demonstrate how to change a diaper. INCORRECT Another action is more effective to meet the clients needs. D)  Tell Ms. Carson that the nurses can change the diapers until they go home. INCORRECT Although the nurses may assist with diaper changing, the mothers involvement in the care of her baby is essential. When Ms. Carson removes the diaper, the nurse notices that the baby has caked powder in the inguinal leg folds and vulva areas. 19. What action should the nurse take? A)  Show Ms. Carson how to remove the caked-on powder. INCORRECT This should be done, but further instruction is needed. B)  Explore with Ms. Carson why powder was used. INCORRECT This may provide some information, but does not correct the problem. C)  Praise Ms. Carson for wanting to keep her baby dry. INCORRECT This response does not teach Ms. Carson about the proper use of powder on her baby. D)  Instruct Ms. Carson to use plain water instead of powder. CORRECT Until the baby is 4 days old, only plain warm water is recommended (after the initial bath) because soaps, ointments, powders, lotions, and baby wipes can disrupt the acid mantle on the skin and provide a medium for bacterial growth. Ointments are prescribed only if a rash develops in the first few days of life. Use of powder also places the infant at risk for fine particle aspiration. While changing the diaper, Ms. Carson notices blood-tinged mucous in the vulva area and asks the nurse what is causing this with her baby. 20. Which explanation should the nurse provide? A)  Your baby probably has the beginning of a urinary tract infection. INCORRECT This finding is not consistent with a urinary tract infection. B)  Apparently your baby had some trauma at birth to cause this. INCORRECT There is usually a much more reasonable explanation for this finding. This response could cause the mother unnecessary anxiety. C)  Withdrawal of maternal hormones is the usual cause of this occurrence. CORRECT This is called pseudomenstruation, which is due to the effects of maternal hormones. D)  This is unusual, and I will notify the pediatrician about the mucous. INCORRECT This is not an unusual occurrence. Preparation for Discharge At two days post birth, Ms. Carson and her baby are doing well and preparing for discharge. The babys weight at birth was 7 lb 15 oz (3600 gms), and today she weighs 7 lb 3 oz (3300 gms). Ms. Carson expresses her concern to the nurse when she realizes that her baby has lost almost a pound since birth. 21. How should the nurse respond? A)  I can tell you are concerned. Would you like to talk with the pediatrician? INCORRECT She can certainly talk with the pediatrician, but the nurse can and should respond to this mothers concern. B)  Yes, this is a concern. The pediatrician may want to keep the baby here for another day. INCORRECT Based on the data regarding the babys weight loss, it would not be necessary to keep the baby another day. C)  Dont worry. Your baby will gain weight in a few days when your milk comes in. INCORRECT This response offers false reassurance. In addition, it may lead the mother to believe that her breast milk is not adequate at this time, which is incorrect. D)  Dont be concerned. Your babys weight loss is in the typical range for all babies. CORRECT Babies may lose up to approximately 10% of their birth weight. Ms. Carson is told that a neonatal screening test needs to be done before they are discharged. 22. When asked the reason for including the PKU test in the screening, which information should the nurse provide? A)  An error in metabolism of the amino acids leucine, isoleucine, and valine can cause death if not detected and treated early. INCORRECT This describes another error in metabolism. B)  A problem converting the protein, phenylalanine, may be present, which can lead to mental retardation if not found and treated early. CORRECT PKU testing is done to detect the level of phenylalanine in the babys blood. C)  Screening for an error in metabolism of the sugars galactose and lactose can prevent liver and brain damage in the newborn. INCORRECT This describes a different error in metabolism. D)  This test detects the level of thyroxin produced by the thyroid. If too little is produced or if treatment is not started early, mental retardation can result. INCORRECT This describes another metabolic disorder, not PKU. 3. How should the nurse collect the blood needed for PKU screening? A)  Clean the heel with alcohol swap, dry with gauze, and collect blood in a capillary tube. INCORRECT A capillary tube is used to collect blood for hemoglobin, not PKU screening. B)  Puncture the lateral heel after warming and collect blood samples on the designated lab form. CORRECT The heel should be warmed, cleaned with alcohol, and dried with gauze. After puncturing the heel with a microlancet, blood is collected on a special neonatal screening form. C)  Collect heel blood using a transfer pipette and place a drop of blood on a reflectance meter. INCORRECT This is the usual technique to collect blood for glucose analysis, not PKU screening. D)  After grasping the babys lower leg and foot, use a microlancet to puncture the middle portion of the heel. INCORRECT The middle portion of the heel should not be used. Case Outcome After discharge teaching is complete and the nurse removes one ID band from the baby to keep with the record, follow-up appointments are made for both mother and baby. Ms. Carson thanks the nurses for their support, care, and teaching. Ms. Carson and baby are taken by wheelchair to a private car, where the baby is secured in a car seat for the drive home.