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If the teenage mother expresses feeling inexperienced and inadequate in caring for the baby, which referral is best?
- A. Project Head Start
- B. Planned Parenthood
- C. Parent-Teacher Association
- D. Parenting classes
Correct Answer: D
Rationale: Parenting classes provide education and support to build confidence and skills.
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Which nursing action is most appropriate for the mother at this time?
- A. Briefly take over bathing the newborn.
- B. Advise the mother to discontinue the bath.
- C. Give all future baths in the nursery.
- D. Point out the good job being done.
Correct Answer: A
Rationale: Taking over briefly supports the mother, reducing her anxiety while allowing her to remain involved.
Which suggestion is likely to be most beneficial to the mother?
- A. Give the child simple responsibilities to perform.
- B. Teach the child to print first and last names.
- C. Buy a set of mathematic flash cards that teach addition.
- D. Have the child watch children's daytime television programs.
Correct Answer: A
Rationale: Responsibilities foster independence and readiness for kindergarten.
Which response by the nurse provides the best explanation of the child's behavior?
- A. Thumb sucking is a primitive form of self-stimulation and security.
- B. Thumb sucking is a regressive behavior with a comforting effect.
- C. Thumb sucking substitutes for the missing fluids due to postoperative restriction of fluids.
- D. Thumb sucking satisfies the child's increased need for a familiar touch.
Correct Answer: B
Rationale: Thumb sucking is a regressive behavior triggered by stress, offering comfort.
Which information given to the teenage mother is most appropriate?
- A. Holding will not result in spoiling the baby.
- B. Grandparents usually spoil babies.
- C. Babies need to be spoiled.
- D. Toddlers are more likely to be spoiled.
Correct Answer: A
Rationale: Reassuring the mother that holding is beneficial promotes bonding and reduces unnecessary worry.
The nurse advises the parents to look for which change as evidence that methylphenidate hydrochloride (Ritalin) is achieving its desired effect?
- A. The child is less easily distracted.
- B. The child does not seem fatigued.
- C. The child's moods are more stable.
- D. None of the above
Correct Answer: A
Rationale: Reduced distractibility indicates improved focus, the primary goal of Ritalin.