Nokea
The nurse is educating a client about postpartum depression. What statement indicates understanding?
- A. It's normal to feel sad for the first 6 months postpartum.
- B. I should seek help if I have trouble bonding with my baby.
- C. Postpartum depression only occurs in first-time mothers.
- D. I should ignore feelings of hopelessness—they will pass.
Correct Answer: B
Rationale: Difficulty bonding with the baby can be a sign of postpartum depression and should be addressed.
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What is the first action when a newborn has a heart rate below 100 bpm immediately after birth?
- A. Provide chest compressions
- B. Administer oxygen and provide stimulation
- C. Delay interventions and reassess in 5 minutes
- D. Start an IV line for medications
Correct Answer: B
Rationale: Providing oxygen and stimulation helps improve heart rate and respiratory status.
Which statement made by a nursing student would best indicate that her education on family-centered care was fully understood?
- A. Childbirth affects the entire family, and relationships will change.
- B. Families are usually not capable of making health care decisions for themselves, especially in stressful situations.
- C. Mothers are the only family member affected by childbirth.
- D. Since childbirth is a medical procedure, it may affect everyone.
Correct Answer: A
Rationale: Childbirth affects the entire family, and relationships will change. Childbirth is viewed as a normal life event, not a medical procedure. Families are very capable of making health care decisions about their own care with proper information and support.
Upon delivery of the newborn, the nursing intervention that most promotes parental attachment is:
- A. Placing the infant under the radiant warmer
- B. Allowing the mother to rest immediately after delivery
- C. Placing the newborn on mother's chest and abdomen
- D. Taking the newborn to the nursery for the initial assessment
Correct Answer: C
Rationale: Skin-to-skin contact enhances bonding.
Parents who recently experienced the death of their unborn child ask the nurse, 'What is a fetal death?' What is the nurse's best response?
- A. Fetal deaths occur later in pregnancy after 20 weeks' gestation.
- B. It refers to the intrauterine fetal death at any time during pregnancy.
- C. Fetal deaths occur earlier in pregnancy before 20 weeks' gestation.
- D. Fetal death occurs only at the birth of the newborn.
Correct Answer: B
Rationale: Fetal death refers to the spontaneous intrauterine death of a fetus at any time during pregnancy. Fetal deaths later in pregnancy (after 20 weeks of gestation) are referred to as stillbirths, and deaths earlier than 20 weeks are referred to as a miscarriage.
A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings show potential prenatal complication?
- A. Periodic tingling of fingers
- B. Absence of clonus
- C. Leg cramps
- D. Blurred vision
Correct Answer: D
Rationale: Blurred vision is a potential prenatal complication during the third trimester of pregnancy and can be a sign of conditions such as preeclampsia or gestational diabetes. It is important for the nurse to further assess this finding and consult with the healthcare provider to ensure appropriate management and monitoring of the client's condition. Periodic tingling of fingers, absence of clonus, and leg cramps are common discomforts during pregnancy and do not typically indicate a prenatal complication.