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.
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A breastfeeding woman calls the pediatric nurse with the following complaint:"I woke up this morning with a terrible cold. I don't want my baby to get sick. Which kind of formula should I have my husband feed the baby until I get better?" Which of the following replies by the nurse is appropriate at this time?
- A. Any formula brand is satisfactory, but it is essential that it be mixed with water that has been boiled for at least 5 minutes.
- B. Don't forget to pump your breasts every 3 hours while the baby is being fed the prescribed formula.
- C. The best way to keep your baby from getting sick is for you to keep breastfeeding him rather than switching him to formula.
- D. In addition to giving the baby formula, you should wear a surgical face mask when you are around him.
Correct Answer: C
Rationale: Breastfeeding provides antibodies to protect the baby.
A nurse who is caring for a mother/newborn dyad on the maternity unit has identified the following nursing diagnosis: Effective breastfeeding. Which of the following would warrant this diagnosis?
- A. Baby's lips are flanged when latched.
- B. Baby feeds every 4 hours.
- C. Baby lost 12% of weight since birth.
- D. Baby's tongue stays behind the gum line.
Correct Answer: A
Rationale: Flanged lips indicate proper latch.
Which of the following full-term babies requires immediate intervention?
- A. Baby with seesaw breathing.
- B. Baby with irregular breathing with 10-second apnea spells.
- C. Baby with coordinated thoracic and abdominal breathing.
- D. Baby with respiratory rate of 52.
Correct Answer: A
Rationale: Seesaw breathing indicates diaphragmatic dysfunction and requires urgent evaluation.
What information about pain medication should postpartum discharge instructions include?
- A. Narcotic medications can cause constipation.
- B. Stop taking iron after birth.
- C. Do not take NSAIDs while breast-feeding.
- D. Acetaminophen should be avoided
Correct Answer: A
Rationale: The correct answer is A because narcotic medications commonly cause constipation, a common side effect that postpartum patients should be aware of. It is important to include this information in discharge instructions to ensure patient safety and comfort.
Choice B is incorrect because the discontinuation of iron supplements should be discussed with a healthcare provider, not automatically stopped after birth.
Choice C is incorrect because some NSAIDs are safe to take while breastfeeding, and this blanket statement may not apply to all medications in this category.
Choice D is incorrect because acetaminophen is generally considered safe for postpartum pain relief and should not be avoided without medical guidance.
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.