Nokea
The nurse is discussing the neonatal blood screening test with a new mother. The nurse knows that the teaching was successful when the mother states that the test screens for the presence in the newborn of which of the following diseases? Select one that doesn't apply
- A. Hypothyroidism.
- B. Sickle cell disease.
- C. Galactosemia.
- D. Cerebral palsy.
Correct Answer: D
Rationale: These are common conditions screened for in neonatal blood tests; cerebral palsy is not typically screened through blood tests.
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A nurse is teaching a mother how to care for her 3-day-old son's circumcised penis. Which of the following actions demonstrates that the mother has learned the information?
- A. The mother cleanses the glans with a cotton swab dipped in hydrogen peroxide.
- B. The mother covers the glans with antifungal ointment after rinsing off any discharge.
- C. The mother squeezes soapy water from the wash cloth over the glans.
- D. The mother replaces the dry sterile dressing before putting on the diaper.
Correct Answer: D
Rationale: Proper care involves keeping the area clean and dry, with a sterile dressing if necessary.
Which of the following comments suggest that a client whose baby was born with a congenital defect is in the bargaining phase of grief?
- A. I hate myself. I caused my baby to be sick.
- B. I'll take him to a specialist. Then he will get better.
- C. I can't seem to stop crying.
- D. This can't be happening.
Correct Answer: B
Rationale: Bargaining involves attempting to find solutions.
The nurse recognizes the postpartum person is in what stage of Rubin’s attachment model when the person is concerned with physical recovery and depends on the nurse or partner for help physically?
- A. Taking In
- B. Taking Hold
- C. Postpartum Maternal Change
- D. Attainment of Change
Correct Answer: A
Rationale: The correct answer is A: Taking In. In Rubin's attachment model, this stage occurs immediately after childbirth when the person focuses on their own physical recovery and relies on others for assistance. This stage is characterized by passivity and dependence. The other choices are incorrect because: B) Taking Hold is the stage where the person starts to take on more responsibility for themselves and the baby; C) Postpartum Maternal Change is not a recognized stage in Rubin's model; D) Attainment of Change is not a stage in Rubin's model either.
A client is receiving a blood transfusion after the delivery of a placenta accreta and hysterectomy. Which of the following complaints by the client would warrant immediately discontinuing the infusion?
- A. My lower back hurts all of a sudden.
- B. My hands feel so cold.
- C. I feel like my heart is beating fast.
- D. I feel like I need to have a bowel movement.
Correct Answer: A
Rationale: Back pain can indicate a hemolytic reaction.
A couple, accompanied by their 5-year-old daughter, have been notified that their 32-week-gestation fetus is dead. The father is yelling at the staff. The mother is crying uncontrollably. The 5-year-old is banging the head of her doll on the floor. Which of the following nursing actions is appropriate at this time?
- A. Tell the father that his behavior is inappropriate.
- B. Sit with the family and quietly communicate sorrow at their loss.
- C. Help the couple to understand that their daughter is acting inappropriately.
- D. Encourage the couple to send their daughter to her grandparents.
Correct Answer: B
Rationale: Supportive presence is key.