Nokea
The nurse on a postpartum unit is focused on providing care that will assist the mother and father in making the transition to parenthood. For which reason does the nurse review the prenatal and labor records?
- A. Pregnancy and birth experiences, which can either enhance or impede the process of becoming a mother.
- B. Awareness of prenatal classes that will help identify and focus on learning needs of both parents.
- C. Identification of preexisting maternal conditions that may interfere with parenting transitions.
- D. Knowledge regarding questions and concerns the mother and father may have about neonate issues.
Correct Answer: A
Rationale: The correct answer is A because reviewing prenatal and labor records helps the nurse understand the mother's pregnancy and birth experiences, which can influence her transition to motherhood. By knowing these experiences, the nurse can provide tailored support and interventions.
Choice B is incorrect because prenatal classes are not the main focus for reviewing records, although they may be helpful. Choice C is incorrect because preexisting maternal conditions are important but not the main reason for reviewing records in this context. Choice D is incorrect because the focus is on the mother's experiences rather than neonate issues.
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Which behavior does the nurse identify as a demonstration of unidirectional bonding between a parent and infant?
- A. The parents respond to the baby's cry.
- B. The parents call the baby by name.
- C. The baby responds to comforting measures.
- D. The parents stimulate and entertain the baby.
Correct Answer: B
Rationale: The correct answer is B because calling the baby by name demonstrates a unidirectional bond where the parent is actively engaging with the infant without requiring a response. In this scenario, the parent is initiating communication and bonding with the baby. The other choices involve reciprocal interactions between the parent and infant, which do not solely demonstrate a unidirectional bond. Choice A involves the parent responding to the baby's cry, which is a reaction to the infant's behavior. Choice C involves the baby responding to comforting measures initiated by the parent. Choice D involves the parents stimulating and entertaining the baby, which implies a back-and-forth interaction rather than a unidirectional bond.
The nurse is preparing to perform a visual assessment of the perineum of a postpartum patient. The nurse will use the REEDA acronym. Which specific assessments isn't covered by REEDA?
- A. Perineal coloration
- B. Suture line appearance
- C. Amount of swelling
- D. Description of pain
Correct Answer: D
Rationale: The correct answer is D, Description of pain. The REEDA acronym stands for Redness, Edema, Ecchymosis, Discharge, and Approximation. These components focus on physical aspects like inflammation, bruising, wound healing, and discharge. Pain assessment is important but not part of the REEDA acronym, which specifically addresses visible signs of perineal healing postpartum. A thorough assessment should include pain evaluation separately. Choices A, B, and C are incorrect because they are covered by the REEDA acronym, focusing on perineal coloration, suture line appearance, and amount of swelling, respectively.
The nurse in a postpartum unit frequently teaches patients regarding breast care. Which teaching is most helpful to the breastfeeding patient?
- A. Run warm water over breasts while in the shower.
- B. Wear a supportive bra for 24 hours a day.
- C. Express milk by a breast pump or manually.
- D. Take analgesics for breast pain management.
Correct Answer: C
Rationale: The correct answer is C because expressing milk by a breast pump or manually helps in relieving engorgement, preventing mastitis, and maintaining milk supply. This action also allows for proper milk removal and promotes breastfeeding success.
A: Running warm water over breasts can provide temporary relief but does not address the underlying issue of engorgement or milk expression.
B: Wearing a supportive bra is important, but doing so 24 hours a day can lead to discomfort and potential issues with milk supply and breast health.
D: Taking analgesics may provide pain relief but does not address the root cause of the issue and may mask potential problems.
The nurse is counseling a lesbian couple who have decided to have a child. Which considerations doesn't the nurse present with regard to which partner will become pregnant?
- A. Consider the age and health of each partner.
- B. Evaluate each partner's career goals.
- C. Decide which partner has better insurance.
- D. Determine who will be on the birth certificate.
Correct Answer: D
Rationale: The correct answer is D because determining who will be on the birth certificate is not a relevant consideration when a lesbian couple decides which partner will become pregnant. The birth certificate can typically be amended to include both partners as legal parents regardless of who gives birth.
A: Considering the age and health of each partner is important for assessing pregnancy risks.
B: Evaluating career goals may impact decisions around timing and balancing work and parenthood.
C: Deciding which partner has better insurance is relevant for covering prenatal care and delivery costs.
The nurse is counseling a lesbian couple who have decided to have a child. Which considerations doesn't the nurse present with regard to which partner will become pregnant?
- A. Consider the age and health of each partner.
- B. Evaluate each partner's career goals.
- C. Decide which partner has better insurance.
- D. Determine who will be on the birth certificate.
Correct Answer: D
Rationale: The correct answer is D because determining who will be on the birth certificate is not a relevant consideration when discussing which partner will become pregnant. The birth certificate can be adjusted later, and it does not impact the decision-making process for pregnancy.
A: Age and health are important factors to consider for the partner who will become pregnant.
B: Evaluating career goals can help determine the impact of pregnancy on each partner's professional life.
C: Insurance coverage can be important when planning for pregnancy and childbirth, as it can affect access to healthcare services.