Nokea
A postpartum woman has been diagnosed with postpartum psychosis. Which of the following is essential to be included in the family teaching for this client?
- A. The woman should never be left alone with her infant.
- B. Symptoms rarely last more than one week.
- C. Clinical response to medications is usually poor.
- D. The woman must have her vitals assessed every two days.
Correct Answer: A
Rationale: Safety is paramount with psychosis.
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Which description best explains the term reciprocal attachment behavior?
- A. Behavior during the sensitive period when the infant is in the quiet alert stage
- B. Positive feedback that the infant exhibits toward parents during the attachment process
- C. Unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact
- D. Behavior by the infant during the sensitive period to elicit feelings of “falling in love” from the parents
Correct Answer: B
Rationale: The correct answer is B because reciprocal attachment behavior refers to the mutual and positive interactions between infants and their caregivers during the attachment process. This behavior involves the infant responding to the caregiver's actions with positive feedback, such as smiles, cooing, and seeking physical contact. This interaction strengthens the bond between the infant and caregiver.
Choice A is incorrect because it describes the infant's behavior during a specific stage (quiet alert stage) but does not capture the reciprocal nature of attachment behavior. Choice C is incorrect because reciprocal attachment behavior is not unidirectional and does not solely depend on eye contact. Choice D is incorrect because reciprocal attachment behavior is not about eliciting specific feelings from the parents but rather about building a strong, mutual bond between the infant and caregiver.
A couple has delivered a 28-week fetal demise. Which of the following nursing actions are appropriate to take?Select one that doesn't apply
- A. Swaddle the baby in a baby blanket.
- B. Discuss funeral options for the baby.
- C. Encourage the couple to try to get pregnant again in the near future.
- D. Ask the couple whether they would like to hold the baby.
Correct Answer: C
Rationale: Holding the baby and discussing funeral options support grieving.
A nurse is providing anticipatory guidance to a couple before they take home their newborn. Which of the following should be included?
- A. If their baby is sleeping soundly
- B. they should not awaken the baby for a feeding.
- C. If they take their baby outside
- D. they should put sunscreen on the baby.
Correct Answer: C
Rationale: Acetaminophen is useful for fever or discomfort under medical supervision.
A neonate is being admitted to the well-baby nursery. Which of the following findings should be reported to the neonatologist?
- A. Umbilical cord with three vessels.
- B. Diamond-shaped anterior fontanelle.
- C. Cryptorchidism.
- D. Café au lait spot.
Correct Answer: C
Rationale: Cryptorchidism (undescended testes) requires medical evaluation.
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.