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A physician writes in a breastfeeding mother's chart, 'Ampicillin 500 mg q 6 h po. Baby should be bottle fed until medication is discontinued.' What should be the nurse's next action?
- A. Follow the order as written.
- B. Call the doctor and question the order.
- C. Follow the antibiotic order but ignore the order to bottle feed the baby.
- D. Refer to a text to see whether the antibiotic is safe while breastfeeding.
Correct Answer: B
Rationale: Ampicillin is generally safe during breastfeeding.
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Research has shown that with lesbian parents, the non-birthing person can feel role resentment, exclusion from health-care services, and feelings of neglect. How can the nurse include the non-birthing partner?
- A. Ask the person to leave the room during the newborn assessment.
- B. Educate the person to leave the feeding up to the birthing person.
- C. Demonstrate newborn care to both parents.
- D. Ask the person’s family how they feel about their relationship.
Correct Answer: C
Rationale: The correct answer is C: Demonstrate newborn care to both parents. This option promotes inclusivity and involvement of both parents in caring for the newborn, addressing feelings of neglect and exclusion. It allows the non-birthing partner to actively participate in the care process, fostering bonding and reducing role resentment.
A: Asking the person to leave the room during the newborn assessment isolates and excludes them, exacerbating feelings of neglect.
B: Educating the person to leave feeding to the birthing person further marginalizes them and does not address their emotional needs.
D: Asking the person's family about their relationship does not directly involve the non-birthing partner and does not address their feelings of exclusion.
Which action should the nurse take in order to provide support and encouragement to the new postpartum patient?
- A. Recount how she solved her own problems.
- B. Correct the new mother at every opportunity.
- C. Praise the mother’s early attempts at infant car
- D. Explain to the new mother that everything will be fine
Correct Answer: C
Rationale: The correct answer is C: Praise the mother’s early attempts at infant care. This choice focuses on positive reinforcement, which can boost the new mother's confidence and encourage her in her new role. By acknowledging and praising her efforts, the nurse can help build the mother's self-esteem and foster a supportive environment.
Choices A and D do not directly provide support and encouragement to the new mother. Recounting how the nurse solved her own problems (Choice A) may come off as self-centered and not helpful to the new mother's situation. Explaining that everything will be fine (Choice D) may minimize the new mother's feelings and concerns.
Choice B, correcting the new mother at every opportunity, is not supportive or encouraging. It can undermine the mother's confidence and create a negative dynamic. It is important for the nurse to focus on positive reinforcement and support to help the new mother navigate the challenges of postpartum care.
A woman, 26 weeks' gestation, has just delivered a fetal demise. Which of the following nursing actions is appropriate at this time?
- A. Remind the mother that she will be able to have another baby in the future.
- B. Dress the baby in a tee shirt and swaddle the baby in a receiving blanket.
- C. Ask the woman if she would like the doctor to prescribe a sedative for her.
- D. Remove the baby from the delivery room as quickly as possible.
Correct Answer: B
Rationale: Providing dignity to the baby is important.
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.
A woman who wishes to breastfeed advises the nurse that she had a breast reduction one year earlier. Which of the following responses by the nurse is appropriate?
- A. Advise the woman that unfortunately she will be unable to breastfeed.
- B. Examine the woman's breasts to see where the incision was placed.
- C. Monitor the baby's daily weights for excessive weight loss.
- D. Inform the woman that reduction surgery rarely affects milk transfer.
Correct Answer: C
Rationale: Weight monitoring ensures adequate milk transfer.