Nokea
A nurse is advising a mother of a neonate being discharged from the hospital regarding car seat safety. Which of the following should be included in the teaching plan? Select all that apply.
- A. Place the baby's car seat in the front passenger seat.
- B. Position the car seat rear facing until the baby reaches two years of age.
- C. Attach the car seat to the car at 2 latch points at the base of the car seat.
- D. Check that the installed car seat moves no more than 1 inch side to side or front to back.
Correct Answer: B
Rationale: Rear-facing positioning and secure installation are critical for safety.
You may also like to solve these questions
The nurse observes a patient on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. Which action is most appropriate for the nurse to take at this time?
- A. Hand the baby to the woman.
- B. Explain “taking-in” to the woman.
- C. Offer to hand the baby to the woman.
- D. No action, because this situation is perfectly acceptabl
Correct Answer: B
Rationale: The correct answer is B: Explain "taking-in" to the woman. This action allows the nurse to educate the woman on the normal postpartum adjustment period. By explaining "taking-in," the nurse helps the woman understand her current need for rest and reflection without feeling guilty about not immediately attending to her newborn. This approach promotes bonding by reducing anxiety and enhancing the mother's confidence in her abilities.
Summary of other choices:
A: Hand the baby to the woman - This choice may not address the woman's emotional needs and understanding of her current state.
C: Offer to hand the baby to the woman - While offering is a good gesture, it may not address the underlying need for education and reassurance.
D: No action, because this situation is perfectly acceptable - Ignoring the opportunity to provide guidance and support may lead to confusion and insecurity for the woman.
A family is concerned about how their 2-year-old son is going to react to the new baby. Which intervention would help facilitate sibling attachment?
- A. Have the mother and father spend individual time with their son to allay potential anxiety over the new baby coming in and displacing his position in the family as the only child.
- B. Make sure that their son is supervised at all times when the baby is brought home
- C. Include the son in helping to take care of the baby and reinforce the label of “big brother” as a special role.
- D. Observe the son’s reaction to the baby and let him decide when he wants to be
Correct Answer: C
Rationale: The correct answer is C because involving the 2-year-old son in caring for the new baby and reinforcing his role as a "big brother" can help facilitate sibling attachment. This intervention promotes bonding, fosters a sense of responsibility, and helps the son feel included in the family dynamic. It also allows the son to feel special in his new role, leading to positive feelings towards the new baby.
Choice A is incorrect as just spending individual time with the son may not address his concerns about the new baby and could potentially reinforce any feelings of displacement. Choice B is incorrect as constant supervision may not necessarily facilitate sibling attachment and could lead to feelings of restriction or resentment. Choice D is incorrect as it puts the onus solely on the son without providing clear guidance or support in navigating the new family dynamic.
A postpartum client has been diagnosed with deep vein thrombosis. For which of the following additional complications is this client high risk?
- A. Hemorrhage.
- B. Stroke.
- C. Endometritis.
- D. Hematoma.
Correct Answer: B
Rationale: DVT increases stroke risk due to clot migration.
The nurse educates the non–breast-feeding person on breast discomfort caused by engorgement. What instructions would they give?
- A. Massage breasts to release milk.
- B. Apply cold packs and cabbage leaves.
- C. Stand in the warm shower to stimulate letdown.
- D. Do not wear a bra.
Correct Answer: B
Rationale: The correct answer is B: Apply cold packs and cabbage leaves. Engorgement causes breast swelling and discomfort due to increased blood and milk supply. Applying cold packs reduces inflammation and pain. Cabbage leaves have a cooling effect and can help reduce swelling. Massaging breasts can worsen engorgement by stimulating more milk production. Standing in a warm shower may provide temporary relief but does not address the root cause. Not wearing a bra may lead to discomfort and does not alleviate engorgement.
The nurse should expect to observe which behavior in a 3-week-multigravid postpartum client with postpartum depression?
- A. Feelings of infanticide.
- B. Difficulty with breastfeeding latch.
- C. Feelings of failure as a mother.
- D. Concerns about sibling jealousy.
Correct Answer: C
Rationale: Postpartum depression often manifests as feelings of inadequacy.