A couple is asking the nurse whether or not their son should be circumcised. On which fact should the nurse's response be based?
- A. Boys should be circumcised for them to establish a positive self-image.
- B. Boys should not be circumcised because there is no medical rationale for the procedure.
- C. Experts from the Centers for Disease Control and Prevention argue that circumcision is desirable.
- D. A statement from the American Academy of Pediatrics asserts that circumcision is optional.
Correct Answer: D
Rationale: Circumcision is considered optional, and parents should make an informed decision.
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The nurse is providing discharge counseling to a woman who is breastfeeding her baby. What should the nurse advise the woman to do if she should palpate tender, hard nodules in her breasts?
- A. Gently massage the areas toward the nipple, especially during feedings.
- B. Apply ice to the areas between feedings.
- C. Bottle feed for the next twenty-four hours.
- D. Apply lanolin ointment to the areas after each and every breastfeeding.
Correct Answer: A
Rationale: Massaging helps resolve blocked ducts.
The nurse evaluates a postpartum couplet for parent-infant attachment. What finding would be concerning?
- A. The postpartum person is sleepy.
- B. Parents are both caring for the infant.
- C. The parent is disinterested in the infant.
- D. The family is involved.
Correct Answer: C
Rationale: The correct answer is C because parent-infant attachment involves emotional bonding and responsiveness. If a parent is disinterested, it may indicate a lack of bonding and potential attachment issues. Choice A is not concerning as sleepiness is common postpartum. Choice B is positive as both parents caring for the infant contributes to attachment. Choice D is also positive as family involvement can support attachment.
To reduce the risk of hypoglycemia in a full-term newborn weighing 2,900 grams, what should the nurse do?
- A. Maintain the infant's temperature above 97.7°F.
- B. Feed the infant glucose water every 3 hours until breastfeeding well.
- C. Assess blood glucose levels every 3 hours for the first twelve hours.
- D. Encourage the mother to breastfeed every 4 hours.
Correct Answer: A
Rationale: Maintaining body temperature helps prevent hypoglycemia by reducing metabolic demands.
Which vaccinations are indicated for the postpartum patient if she does not have immunity? (Select all that apply.)
- A. Pertussis
- B. Rubella
- C. Diphtheria, tetanus (Tdap)
- D. RhoGAM
Correct Answer: A
Rationale: Rationale:
1. Pertussis vaccine is recommended in the postpartum period to protect the newborn from whooping cough.
2. Rubella vaccine is usually given preconception or postpartum if the mother is not immune.
3. Tdap vaccine (Diphtheria, Tetanus, Pertussis) is recommended during pregnancy, not specifically postpartum.
4. RhoGAM is given to Rh-negative mothers to prevent hemolytic disease in the newborn, not for general immunity.
Which site should the nurse use to assess the pulse of a baby?
- A. Carotid.
- B. Radial.
- C. Brachial.
- D. Pedal.
Correct Answer: C
Rationale: Brachial pulse is easily accessible in infants.