Nokea
The nurse is concerned that a bottle-fed baby may become obese because of which activity by the mother?
- A. She encourages the baby to finish the bottle at each feed.
- B. She feeds the baby every 3 to 4 hours.
- C. She feeds the baby a soy-based formula.
- D. She burps the baby every 1/2 to 1 ounce.
Correct Answer: A
Rationale: Overfeeding can contribute to obesity.
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A client is to receive a blood transfusion after significant blood loss following a placenta previa delivery. Which of the following actions by the nurse is critical prior to starting the infusion? Select all that apply.
- A. Look up the client's blood type in the chart.
- B. Check the client's arm bracelet.
- C. Check the blood type on the infusion bag.
- D. Obtain an infusion bag of dextrose and water.
Correct Answer: B
Rationale: Blood type verification is critical.
The nurse is going to assist the mother with the first breastfeeding experience. Which of the following actions should the nurse perform first?
- A. Compare mother's and baby's identification bracelets.
- B. Help the mother into a comfortable position.
- C. Teach the mother about a proper breast latch.
- D. Tickle the baby's lips with the mother's nipple.
Correct Answer: A
Rationale: Identity verification ensures correct pairing.
To promote bonding and attachment immediately after birth, which action should the nurse take?
- A. Assist the mother in feeding her baby.
- B. Allow the mother quiet time with her infant.
- C. Teach the mother about the concepts of bonding and attachment.
- D. Assist the mother in assuming an en face position with her newborn.
Correct Answer: D
Rationale: The correct answer is D because assuming an en face position (face-to-face) with the newborn promotes bonding and attachment by facilitating eye contact, skin-to-skin contact, and mutual recognition between the mother and baby. This physical closeness immediately after birth helps establish a strong emotional connection.
A: Assisting with feeding is important but does not specifically address bonding and attachment immediately after birth.
B: Allowing quiet time is beneficial but may not actively promote bonding and attachment.
C: Teaching about bonding and attachment is valuable but does not directly facilitate the immediate connection between mother and baby.
Research has shown what intervention increases involvement of the adolescent partner postpartum?
- A. involvement of the partner during the prenatal period
- B. involvement of parents in decision making
- C. restricting people in the labor room
- D. providing newborn care in the nursery
Correct Answer: A
Rationale: The correct answer is A: involvement of the partner during the prenatal period. This intervention increases the involvement of the adolescent partner postpartum by fostering a sense of responsibility, connection, and support early on in the pregnancy. By actively engaging the partner in prenatal care and decision-making processes, they are more likely to feel invested in the pregnancy and the well-being of the newborn. This involvement also promotes better communication and shared responsibilities between the partners, leading to a smoother transition into parenthood.
Summary of why other choices are incorrect:
B: Involvement of parents in decision making may be beneficial but does not directly address the involvement of the adolescent partner postpartum.
C: Restricting people in the labor room does not promote partner involvement postpartum and may hinder support networks.
D: Providing newborn care in the nursery may be helpful for short-term respite but does not enhance the involvement of the partner postpartum.
The nurse is conducting discharge teaching for a patient going home after a cesarean birth. Which signs and symptoms should the patient be taught to report? (Select all that apply.)
- A. Mild incisional pain
- B. Feeling of pelvic fullness
- C. Lochia changing from red to pink in color
- D. Frequency, urgency, or burning on urination
Correct Answer: D
Rationale: The correct answer is D because frequency, urgency, or burning on urination could indicate a urinary tract infection, a common post-cesarean complication. Reporting these symptoms promptly can prevent further complications.
A, B, and C are incorrect. A mild incisional pain is normal after a cesarean birth and is expected during the healing process. Feeling of pelvic fullness may be due to postpartum changes in the body and is not necessarily concerning. Lochia changing from red to pink is a normal progression of lochia color and does not typically indicate a problem unless there are other concerning symptoms present.