Nokea
How can the nurse caring for a patient with a neonatal loss practice self-care?
- A. Refrain from discussing her feelings at work.
- B. Understand that depression is normal after neonatal loss.
- C. Take off work for a week.
- D. Debrief with manager and colleagues.
Correct Answer: D
Rationale: Debriefing with colleagues and managers allows for emotional processing and support, which is crucial after a neonatal loss. Suppressing emotions or taking prolonged leave may hinder recovery and professional functioning.
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The nurse manager is planning a debriefing for several of the nurses after an IPFD. What should the manager expect?
- A. The nurses will need to discuss fault in order to alleviate feelings of guilt.
- B. During the debriefing, some nurses will complain of physical tension, headache, and insomnia.
- C. The nurse caring for the patient will need to defend herself to the health-care provider.
- D. The charge nurse will discuss the nurse’s documentation to prevent a lawsuit.
Correct Answer: B
Rationale: Debriefing sessions often reveal stress-related symptoms such as physical tension, headaches, and insomnia among healthcare providers following traumatic events like IPFD. Focusing on blame or legal concerns detracts from the emotional processing necessary during these sessions.
Which assessment findings would the nurse expect to find on a newborn who delivered 24 hours ago?
- A. Blood pressure of 120/80
- B. Heart rate of 145 beats per minute
- C. Temperature of 96.8°F
- D. Respiratory rate: 62 breaths per minute
Correct Answer: B
Rationale: The correct answer is B: Heart rate of 145 beats per minute. This is expected in a newborn as their heart rate can range from 120-160 bpm. This indicates normal cardiac function. Choices A, C, and D are incorrect. A newborn's blood pressure is usually lower than 120/80. The normal temperature for a newborn is around 98.6-99.5°F. A respiratory rate of 62 breaths per minute is higher than normal for a newborn.
A nurse is providing care to several neonates. In giving the infants prophylactic medication to prevent ophthalmia neonatorum
- A. which ordered medication should the nurse question giving?
- B. Erythromycin (Eyemycin)
- C. Penicillin
- D. Silver nitrate (Dey-Drops)
Correct Answer: b
Rationale: Penicillin is not used for prophylaxis against ophthalmia neonatorum. The other medications are appropriate.
The nurse knows that during the motoric process, the newborn will be rated poorly if they do what?
- A. They have good reflexes.
- B. They have hyper- or hypotonic movements.
- C. They have good head control.
- D. They have moderate activity levels.
Correct Answer: B
Rationale: The correct answer is B because hyper- or hypotonic movements indicate abnormal muscle tone, which can be a sign of neurological or developmental issues in newborns. This would lead to a poor rating during the motoric process as it reflects a lack of proper muscle control and coordination. Good reflexes (A) and good head control (C) are positive indicators of normal motor development in newborns. Moderate activity levels (D) are subjective and not directly related to motoric assessment.
The community nurse is meeting a new mother for the first time. The client delivered her first child 5 days ago after a 12-hour labor. Neither the mother nor the infant had any complications during the birth or postpartum period. Which statement by the client would indicate to the nurse that the client is experiencing postpartum blues?
- A. One minute I'm laughing and the next I'm crying.
- B. My husband is helping out by changing the baby at night.
- C. Breastfeeding is going quite well now that the engorgement is gone.
- D. I am so happy and blessed to have my new baby.
Correct Answer: A
Rationale: Postpartum blues often manifest as mood swings, tearfulness, and irritability, which are common in the first few days after delivery.