Nokea
A nurse is teaching a mother how to care for her 3-day-old son's circumcised penis. Which of the following actions demonstrates that the mother has learned the information?
- A. The mother cleanses the glans with a cotton swab dipped in hydrogen peroxide.
- B. The mother covers the glans with antifungal ointment after rinsing off any discharge.
- C. The mother squeezes soapy water from the wash cloth over the glans.
- D. The mother replaces the dry sterile dressing before putting on the diaper.
Correct Answer: D
Rationale: Proper care involves keeping the area clean and dry, with a sterile dressing if necessary.
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The nurse is teaching the parents of a female baby how to change the baby's diapers. Which of the following should be included in the teaching?
- A. Always wipe the perineum from front to back.
- B. Remove any vernix caseosa from the labial folds.
- C. Put powder on the buttocks every time the baby stools.
- D. Weigh every diaper to assess hydration status.
Correct Answer: A
Rationale: Front-to-back wiping prevents urinary tract infections.
An example of binding in during the postpartum period is a
- A. new mother telling her friends all about her labor and birth experienc
- B. father looking at his newborn and stating that he “looks like I did when I was a baby.”
- C. mother reporting increasing anxiety during the postpartum period because she feels like she is without support.
- D. mother wanting some time alone so that she can catch up on needed sleep.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the concept of binding, which refers to the process of forming a strong emotional attachment between a parent and their newborn. In this scenario, the new mother is sharing personal details about her labor and birth experience with her friends, showcasing her emotional connection and bonding with her baby. This act of sharing personal experiences and feelings with others reflects the deep emotional bond that the mother is forming with her child.
Choices B, C, and D are incorrect because they do not directly demonstrate the concept of binding. Choice B focuses on the father's observation of the baby's physical resemblance to himself, which is not directly related to the emotional bonding process. Choice C discusses the mother's anxiety due to lack of support, which is a common issue during the postpartum period but does not specifically illustrate the concept of binding. Choice D mentions the mother's need for alone time to catch up on sleep, which is a practical aspect of postpartum care but does not address the
A client is postpartum 24 hours from a spontaneous vaginal delivery with rupture of membranes for 42 hours. Which of the following signs/symptoms should the nurse report to the client's health care practitioner?
- A. Foul-smelling lochia.
- B. Engorged breasts.
- C. Cracked nipples.
- D. Cluster of hemorrhoids.
Correct Answer: A
Rationale: Foul-smelling lochia indicates infection.
To promote bonding and attachment immediately after birth, which action should the nurse take?
- A. Assist the mother in feeding her baby.
- B. Allow the mother quiet time with her infant.
- C. Teach the mother about the concepts of bonding and attachment.
- D. Assist the mother in assuming an en face position with her newborn.
Correct Answer: D
Rationale: The correct answer is D because assuming an en face position (face-to-face) with the newborn promotes bonding and attachment by facilitating eye contact, skin-to-skin contact, and mutual recognition between the mother and baby. This physical closeness immediately after birth helps establish a strong emotional connection.
A: Assisting with feeding is important but does not specifically address bonding and attachment immediately after birth.
B: Allowing quiet time is beneficial but may not actively promote bonding and attachment.
C: Teaching about bonding and attachment is valuable but does not directly facilitate the immediate connection between mother and baby.
The nurse recognizes the postpartum person is in what stage of Rubin’s attachment model when the person is concerned with physical recovery and depends on the nurse or partner for help physically?
- A. Taking In
- B. Taking Hold
- C. Postpartum Maternal Change
- D. Attainment of Change
Correct Answer: A
Rationale: The correct answer is A: Taking In. In Rubin's attachment model, this stage occurs immediately after childbirth when the person focuses on their own physical recovery and relies on others for assistance. This stage is characterized by passivity and dependence. The other choices are incorrect because: B) Taking Hold is the stage where the person starts to take on more responsibility for themselves and the baby; C) Postpartum Maternal Change is not a recognized stage in Rubin's model; D) Attainment of Change is not a stage in Rubin's model either.