Nokea
The nurse is teaching the parents of a 1-day-old baby how to give a sponge bath. Which of the following actions should be included?
- A. Clean the eyes from outer canthus to inner canthus.
- B. Cleanse the ear canals with a cotton swab.
- C. Assemble all supplies before beginning the bath.
- D. Check the temperature of the bath water with the fingertips.
Correct Answer: C
Rationale: Preparing supplies ensures efficiency and safety during bathing.
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A client just delivered the placenta pictured below. For which of the following complications should the nurse carefully observe the woman?
- A. Endometrial ischemia.
- B. Postpartum hemorrhage.
- C. Prolapsed uterus.
- D. Vaginal hematoma.
Correct Answer: B
Rationale: Abnormal placentas increase hemorrhage risk.
The postpartum nurse is reviewing dietary practices for an Asian patient. Which of the following should the nurse expect to observe as a dietary practice for this culture?
- A. Special foods brought from hom
- B. Preference for fresh fruits.
- C. Preference for “cold” foods.
- D. Request for ice water instead of hot water.
Correct Answer: A
Rationale: The correct answer is A: Special foods brought from home. Asian cultures often have specific dietary practices and beliefs related to postpartum care. Bringing special foods from home is a common practice to support recovery and promote health. This may include traditional dishes thought to have healing properties.
B: Preference for fresh fruits is not specific to Asian cultures and may not necessarily be a common dietary practice postpartum.
C: Preference for “cold” foods is not a general characteristic of Asian dietary practices and may not be specifically related to postpartum care.
D: Request for ice water instead of hot water is not a general dietary practice in Asian cultures and is not directly related to postpartum care.
The nurse evaluates a postpartum couplet for parent-infant attachment. What finding would be concerning?
- A. The postpartum person is sleepy.
- B. Parents are both caring for the infant.
- C. The parent is disinterested in the infant.
- D. The family is involved.
Correct Answer: C
Rationale: The correct answer is C because parent-infant attachment involves emotional bonding and responsiveness. If a parent is disinterested, it may indicate a lack of bonding and potential attachment issues. Choice A is not concerning as sleepiness is common postpartum. Choice B is positive as both parents caring for the infant contributes to attachment. Choice D is also positive as family involvement can support attachment.
Which vaccinations are indicated for the postpartum patient if she does not have immunity? (Select all that apply.)
- A. Pertussis
- B. Rubella
- C. Diphtheria, tetanus (Tdap)
- D. RhoGAM
Correct Answer: A
Rationale: Rationale:
1. Pertussis vaccine is recommended in the postpartum period to protect the newborn from whooping cough.
2. Rubella vaccine is usually given preconception or postpartum if the mother is not immune.
3. Tdap vaccine (Diphtheria, Tetanus, Pertussis) is recommended during pregnancy, not specifically postpartum.
4. RhoGAM is given to Rh-negative mothers to prevent hemolytic disease in the newborn, not for general immunity.
A woman is receiving Paxil (paroxetine) for postpartum depression. To prevent a drug/food interaction, the client must be advised to refrain from consuming which of the following?
- A. Alcohol.
- B. Grapefruit.
- C. Milk.
- D. Cabbage.
Correct Answer: B
Rationale: Grapefruit affects drug metabolism.