Nokea
A mother asks the nurse to tell her about the responsiveness of neonates at birth. Which of the following answers is appropriate? Select one that doesn't apply.
- A. Babies have a poorly developed sense of smell until they are 2 months old.
- B. Babies respond to all forms of taste well
- C. but they prefer to eat sweet things like breast milk.
- D. Babies are especially sensitive to being touched and cuddled.
Correct Answer: A
Rationale: Newborns have limited senses initially but can distinguish tastes, enjoy touch, and have limited vision until around 3 months.
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Research has shown what intervention increases involvement of the adolescent partner postpartum?
- A. involvement of the partner during the prenatal period
- B. involvement of parents in decision making
- C. restricting people in the labor room
- D. providing newborn care in the nursery
Correct Answer: A
Rationale: The correct answer is A: involvement of the partner during the prenatal period. This intervention increases the involvement of the adolescent partner postpartum by fostering a sense of responsibility, connection, and support early on in the pregnancy. By actively engaging the partner in prenatal care and decision-making processes, they are more likely to feel invested in the pregnancy and the well-being of the newborn. This involvement also promotes better communication and shared responsibilities between the partners, leading to a smoother transition into parenthood.
Summary of why other choices are incorrect:
B: Involvement of parents in decision making may be beneficial but does not directly address the involvement of the adolescent partner postpartum.
C: Restricting people in the labor room does not promote partner involvement postpartum and may hinder support networks.
D: Providing newborn care in the nursery may be helpful for short-term respite but does not enhance the involvement of the partner postpartum.
The nurse is caring for a birth mother who is relinquishing her newborn. What intervention is appropriate for the nurse?
- A. Use words like “giving away your child” or “giving up for adoption.”
- B. Tell the person not to hold the baby.
- C. Ask the person why she is giving up her baby.
- D. Ask about the patient’s expectations for having newborn photos or video.
Correct Answer: D
Rationale: The correct answer is D because asking about the patient's expectations for newborn photos or video shows empathy and support for the mother's emotional needs during this difficult time. It allows the nurse to provide personalized care and helps the mother create lasting memories.
A: Using phrases like "giving away your child" is insensitive and can be hurtful to the mother.
B: Discouraging the mother from holding the baby can be emotionally damaging and is not supportive.
C: Asking why she is giving up her baby can be intrusive and may not be helpful at this moment.
On admission to the maternity unit, it is learned that a mother has smoked 2 packs of cigarettes per day and expects to continue to smoke after discharge. The mother also states that she expects to breastfeed her baby. The nurse's response should be based on which of the following?
- A. Breastfeeding is contraindicated if the mother smokes cigarettes.
- B. Breastfeeding is protective for the baby and should be encouraged.
- C. A 2-pack-a-day smoker should be reported to child protective services for child abuse.
- D. A mother who admits to smoking cigarettes may also be abusing illicit substances.
Correct Answer: B
Rationale: Breastfeeding provides benefits despite maternal smoking.
A client, G1 P0000, is PP1 from a normal spontaneous delivery of a baby boy, Apgar 5/6. Because the client exhibited addictive behaviors, a toxicology assessment was performed; the results were positive for alcohol and cocaine. Which of the following interventions is appropriate for the nurse to perform for this postpartum client?
- A. Strongly advise the client to breastfeed her baby.
- B. Perform hourly incentive spirometer respiratory assessments.
- C. Suggest that the nursery nurse feed the baby in the nursery.
- D. Provide the client with supervised instruction on baby-care skills.
Correct Answer: D
Rationale: Supervised instruction ensures safe infant care.
A client just delivered the placenta pictured below. The nurse will document that the woman delivered which of following placentas?
- A. Circumvallate placenta.
- B. Succenturiate placenta.
- C. Placenta with velamentous cord insertion.
- D. Battledore placenta.
Correct Answer: B
Rationale: Succenturiate placenta has accessory lobes.