Nokea
The nurse has provided anticipatory guidance to a couple that has just delivered a baby. Which of the following is an appropriate short-term goal for the care of their new baby?
- A. The baby will have a bath with soap every morning.
- B. During a supervised play period
- C. the baby will be placed on the tummy every day.
- D. The baby will be given a pacifier after each feeding.
Correct Answer: B
Rationale: Tummy time promotes motor development.
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Which of the following behaviors would be applicable to a nursing diagnosis of Risk for Impaired Parenting?
- A. En face behavior is observed between father and infant.
- B. Mother relates that she feels exhilarated postbirth.
- C. Mother states that she feels excessive fatigue as a result of the childbirth
- D. Father displays finger tipping behavior toward infant.
Correct Answer: C
Rationale: The correct answer is C because excessive fatigue post-childbirth can indicate a risk for impaired parenting due to the physical and emotional toll it takes on the mother's ability to care for her infant. This aligns with the defining characteristics of Risk for Impaired Parenting.
A: En face behavior is a positive interaction between parent and infant, not indicative of impaired parenting.
B: Feeling exhilarated post-birth is a normal emotional response and does not necessarily indicate impaired parenting.
D: Finger tipping behavior towards infant is vague and does not specifically relate to impaired parenting.
A client, who had no prenatal care, delivers a 10-lb 10-oz baby boy whose serum glucose result 1 hour after delivery was 20 mg/dL. Based on these data, which of the following tests should the mother have at her 6-week postpartum checkup?
- A. Glucose tolerance test.
- B. Indirect Coombs' test.
- C. Blood urea nitrogen (BUN).
- D. Complete blood count (CBC).
Correct Answer: A
Rationale: Glucose testing is indicated for gestational diabetes.
A nurse is developing a teaching plan for parents who are taking home their 2-day-old breastfed baby. Which of the following should the nurse include in the plan?
- A. Wash hands well before picking up the baby.
- B. Refrain from having visitors for the first month.
- C. Wear a mask to prevent transmission of a cold.
- D. Sterilize the breast pump supplies after every use.
Correct Answer: A
Rationale: Hand hygiene is crucial to prevent infection.
Cloxacillin 500 mg by mouth four times per day for 10 days has been ordered for a client with a breast abscess. The client states that she is unable to swallow pills. The oral solution is available as 125 mg/5 mL. How many mL of medicine should the woman take per dose? (Calculate to the nearest whole.)
- A. 20
- B. NA
- C. NA
- D. NA
Correct Answer: A
Rationale: Calculation: 500 mg ÷ 125 mg × 5 mL = 20 mL.
A gestational diabetic client, who delivered yesterday, is currently on the postpartum unit. Which of the following statements is appropriate for the nurse to make at this time?
- A. Monitor your blood glucose five times a day until your 6-week checkup.
- B. I will teach you how to inject insulin before you are discharged.
- C. Daily exercise will help to prevent you from becoming diabetic in the future.
- D. Your baby should be assessed every 6 months for signs of juvenile diabetes.
Correct Answer: A
Rationale: Gestational diabetes often resolves after delivery, but monitoring is still important.