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A client, who had no prenatal care, delivers a 10-lb 10-oz baby boy whose serum glucose result 1 hour after delivery was 20 mg/dL. Based on these data, which of the following tests should the mother have at her 6-week postpartum checkup?
- A. Glucose tolerance test.
- B. Indirect Coombs' test.
- C. Blood urea nitrogen (BUN).
- D. Complete blood count (CBC).
Correct Answer: A
Rationale: Glucose testing is indicated for gestational diabetes.
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A woman is receiving Paxil (paroxetine) for postpartum depression. To prevent a drug/food interaction, the client must be advised to refrain from consuming which of the following?
- A. Alcohol.
- B. Grapefruit.
- C. Milk.
- D. Cabbage.
Correct Answer: B
Rationale: Grapefruit affects drug metabolism.
The postpartum person asks for only warm drinks and food. How can the nurse support this cultural tradition?
- A. Explain that nurses do not have control over the food.
- B. Tell the person that cold fluids are better for recovery.
- C. Instruct the person to call the nurse to warm up food or drink.
- D. Educate the person on culture in the United States.
Correct Answer: C
Rationale: Rationale for Correct Answer (C): Instructing the person to call the nurse to warm up food or drink is the best way to support the cultural tradition of consuming warm drinks and food. This option respects the individual's cultural preferences and provides a practical solution to meet their needs without imposing personal opinions. By offering assistance in warming up the food or drink, the nurse acknowledges and honors the person's cultural background, promoting a culturally sensitive and patient-centered approach.
Summary of Incorrect Choices:
A: Explaining that nurses do not have control over the food dismisses the person's request and does not address the cultural tradition.
B: Telling the person that cold fluids are better for recovery disregards the cultural preference for warm drinks and food.
D: Educating the person on culture in the United States is not relevant to supporting their specific cultural tradition of consuming warm drinks and food.
A couple has delivered a 28-week fetal demise. Which of the following nursing actions are appropriate to take?Select one that doesn't apply
- A. Swaddle the baby in a baby blanket.
- B. Discuss funeral options for the baby.
- C. Encourage the couple to try to get pregnant again in the near future.
- D. Ask the couple whether they would like to hold the baby.
Correct Answer: C
Rationale: Holding the baby and discussing funeral options support grieving.
What do ineffective parenting practices put the newborn at risk for?
- A. sleeplessness
- B. reflux
- C. lack of attachment
- D. NICU admission
Correct Answer: C
Rationale: The correct answer is C: lack of attachment. Ineffective parenting practices can lead to difficulties in forming a secure attachment bond with the newborn, which is crucial for their emotional and social development. This can result in long-term negative outcomes such as behavioral issues and emotional instability.
Incorrect choices:
A: Sleeplessness is a common issue for newborns but is not directly caused by ineffective parenting practices.
B: Reflux can occur in newborns due to various reasons, not necessarily related to parenting practices.
D: NICU admission may be necessary for certain medical conditions unrelated to parenting practices.
A mother, G4 P4004, is 15 minutes postpartum. Her baby weighed 4,595 grams at birth. For which of the following complications should the nurse monitor this client?
- A. Seizures.
- B. Hemorrhage.
- C. Infection.
- D. Thrombosis.
Correct Answer: B
Rationale: Macrosomic babies increase the risk of postpartum hemorrhage.