Nokea
Postpartum depression and anxiety are prevalent among parents experiencing an IPFD. What is an example of a statement by the parent that would alert the nurse to signs of depression?
- A. I really miss feeling the baby move in my belly.
- B. My family is supportive, but my partner and I just need a few hours to ourselves.
- C. Before the baby died, I really enjoyed spending time with friends. Now nothing I do brings me joy, and I hate leaving the house.
- D. I feel very sad about not becoming a parent. I really need my support group right now.
Correct Answer: C
Rationale: Losing interest in previously enjoyable activities and avoiding social interactions are classic signs of depression. This statement highlights a significant change in behavior and mood, indicating potential postpartum depression.
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Which hormone is essential for milk production?
- A. Estrogen
- B. Prolactin
- C. Progesterone
- D. Lactogen
Correct Answer: B
Rationale: The correct answer is B: Prolactin. Prolactin is the hormone essential for milk production in the mammary glands. It stimulates the production of milk by the alveoli in the breast tissue. Estrogen and progesterone are involved in the preparation of breast tissue during pregnancy, but they do not directly stimulate milk production. Lactogen is another name for human placental lactogen, which is not directly involved in milk production but plays a role in regulating maternal metabolism during pregnancy.
The nurse is completing an initial assessment of the newborn. The newborn's ears appear to be parallel to the outer and inner canthus of the eye. How does the nurse document the ear placement?
- A. low set
- B. high set
- C. a normal position
- D. facial paralysis
Correct Answer: C
Rationale: Step 1: Observe the newborn's ears are parallel to the outer and inner canthus of the eye.
Step 2: Compare the observed ear placement to the standard positioning.
Step 3: If the ears align with the eye canthus, document as "a normal position" (Choice C).
Rationale: Parallel ear position indicates normal development. Low set (Choice A) or high set (Choice B) ears suggest abnormalities. Facial paralysis (Choice D) is not related to ear placement in this context.
The nurse determines the fundus of a postpartum client to be boggy. Initially, what should the nurse do?
- A. Document the findings.
- B. Massage the uterine fundus until it is firm.
- C. Catheterize the client.
- D. Call the physician immediately.
Correct Answer: B
Rationale: Massaging the uterus helps to contract it and control postpartum bleeding, making it the first step in managing a boggy uterus.
The nurse is completing an initial assessment of the newborn. The newborn’s ears appear to be parallel to the outer and inner canthus of the eye. How does the nurse document the ear placement?
- A. low set
- B. high set
- C. a normal position
- D. facial paralysis
Correct Answer: C
Rationale: Ears positioned parallel to the outer and inner canthus are considered normal.
The nurse knows that during the organizational process, the newborn won't be rated as exceptionally good if they do what?
- A. They will remain alert.
- B. They will be highly irritable and demonstrate mood swings.
- C. They will demonstrate self-soothing and quieting techniques.
- D. The newborn will shut down body responses to stimuli when drowsy.
Correct Answer: B
Rationale: The correct answer is B because a newborn being highly irritable and demonstrating mood swings is indicative of poor adaptability and self-regulation skills, which are factors considered in rating newborns. Being irritable and having mood swings can be signs of difficulty in self-soothing and adjusting to the environment, hence not meeting the criteria for being rated exceptionally good.
A: Remaining alert is generally a positive sign of responsiveness, so it wouldn't hinder the newborn from being rated as exceptionally good.
C: Demonstrating self-soothing and quieting techniques is a positive behavior that can contribute to a newborn being rated as exceptionally good.
D: Shutting down body responses to stimuli when drowsy is a normal physiological response and does not necessarily impact the newborn's rating as exceptionally good.