Nokea
It is time for a baby who is in the drowsy behavioral state to breastfeed. Which of the following techniques could the mother use to arouse the baby? Select one that doesn't apply
- A. Swaddle or tightly bundle the baby.
- B. Hand express milk onto the baby's lips.
- C. Talk with the baby while making eye contact.
- D. Remove the baby's shirt and change the diaper.
Correct Answer: A
Rationale: Stimulating the baby with milk, voice, or tactile changes can encourage feeding.
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A postpartum woman has been diagnosed with postpartum psychosis. Which of the following signs/symptoms would the client exhibit?
- A. Hallucinations.
- B. Polyphagia.
- C. Induced vomiting.
- D. Weepy sadness.
Correct Answer: A
Rationale: Hallucinations are characteristic of psychosis.
A newly delivered mother states, 'I have not had any alcohol since I decided to become pregnant. I have decided not to breastfeed because I would really like to go out and have a good time for a change.' Which of the following is the best response by the nurse?
- A. I understand that being good for so many months can become very frustrating.
- B. Even if you bottle feed the baby
- C. you will have to refrain from drinking alcohol for at least the next six weeks to protect your own health.
- D. Alcohol can be consumed at any time while you are breastfeeding.
Correct Answer: D
Rationale: Metabolizing alcohol ensures safety for the baby.
The nurse is caring for a birth mother who is relinquishing her newborn. What intervention is appropriate for the nurse?
- A. Use words like “giving away your child” or “giving up for adoption.”
- B. Tell the person not to hold the baby.
- C. Ask the person why she is giving up her baby.
- D. Ask about the patient’s expectations for having newborn photos or video.
Correct Answer: D
Rationale: The correct answer is D because asking about the patient's expectations for newborn photos or video shows empathy and support for the mother's emotional needs during this difficult time. It allows the nurse to provide personalized care and helps the mother create lasting memories.
A: Using phrases like "giving away your child" is insensitive and can be hurtful to the mother.
B: Discouraging the mother from holding the baby can be emotionally damaging and is not supportive.
C: Asking why she is giving up her baby can be intrusive and may not be helpful at this moment.
A neonate is in the active alert behavioral state. Which of the following would the nurse expect to see?
- A. Baby is showing signs of hunger and frustration.
- B. Baby is starting to whimper and cry.
- C. Baby is wide awake and attending to a picture.
- D. Baby is asleep and breathing rhythmically.
Correct Answer: C
Rationale: Active alert state is characterized by wakefulness and attentiveness.
Which of the following comments suggest that a client whose baby was born with a congenital defect is in the bargaining phase of grief?
- A. I hate myself. I caused my baby to be sick.
- B. I'll take him to a specialist. Then he will get better.
- C. I can't seem to stop crying.
- D. This can't be happening.
Correct Answer: B
Rationale: Bargaining involves attempting to find solutions.