Nokea
The nurse is providing discharge teaching to a 20-year-old mother who has had her first male child. Which statement by the mother demonstrates that she understands the discharge teaching regarding his circumcision?
- A. I will observe the whitish-yellow drainage on his penis, but I will not remove it.
- B. I will bring him back to the clinic in 3 days to have the drainage removed.
- C. I will use antibiotic ointment on his penis with every diaper change.
- D. I will rub the area briskly with a washcloth to remove the drainage.
Correct Answer: A
Rationale: Whitish-yellow drainage is normal and should not be removed.
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The nurse is caring for a 2-week-old girl with a metabolic disorder. Which activity would deviate from the characteristics of family-centered care?
- A. Softening unpleasant information or prognoses
- B. Evaluating and changing the nursing plan of care
- C. Collaborating with the child and family as equals
- D. Showing respect for the family's beliefs and wishes
Correct Answer: A
Rationale: Family-centered care requires that the nurse provide open and honest information to the child and family. It is inappropriate to soften unpleasant information or prognoses.
A nurse is reviewing the prenatal laboratory results. to feed.
- A. Have the mother lean over the infant while feeding action? to facilitate gravity, thereby creating enhanced
- B. Platelet count of 300,000 per μL of blood milk flow.
- C. Red blood cell count of 4 million/microliter
- D. Breastfeeding should not be attempted at this time
Correct Answer: B
Rationale: Platelets are essential for blood clotting and preventing excessive bleeding. A platelet count of 300,000 per μL of blood is within the normal range for adults, indicating that the nurse can proceed with breastfeeding without concerns related to the platelet count. High platelet levels can be associated with conditions like thrombocytosis, which may increase the risk of blood clotting, but in this case, the platelet count is within the normal range. Therefore, the nurse can focus on other factors when determining the readiness for breastfeeding, such as the baby's ability to latch effectively and the mother's comfort and milk supply.
The nurse is assessing a client at 28 weeks' gestation with gestational diabetes. What complication is the client at greatest risk for?
- A. Preterm labor.
- B. Placenta previa.
- C. Macrosomia.
- D. Abruptio placentae.
Correct Answer: C
Rationale: Gestational diabetes increases the risk of fetal macrosomia, which can complicate delivery.
A patient's newborn is neurologically impaired. The most important nursing action should be:
- A. Assist the patient and her family with the grieving process.
- B. Perform neurological assessments of the newborn every four hours.
- C. Arrange for social services to discuss possible placement of the newborn
- D. Obtain an order for an antidepressant to help the patient cope with the depressing news.
Correct Answer: A
Rationale: Supporting the family through grief is crucial.
The primiparous patient that's 40 weeks' gestation reports to the nurse that she has increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
- A. This symptom usually means the baby's head has descended further
- B. Unless you have pain with urination, we don't need to worry it
- C. Come in for an appointment today and we'll check out everything
- D. This might indicate that the baby is no longer in a head down position
Correct Answer: A
Rationale: The best response by the nurse is to reassure the primiparous patient that her increased pelvic pressure and urinary frequency could mean that the baby's head has descended further into the pelvis. This can indicate that labor is approaching, as the baby is getting into position for birth. It is important for the nurse to provide this information to ease the patient's concerns and help her understand the potential significance of these symptoms at 40 weeks' gestation.