Nokea
The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which response by the nurse would be the most therapeutic?
- A. “You’re afraid to take the baby home?”
- B. “Don’t you have a mother who can come and help?”
- C. “You should read the literature I gave you before you leave.”
- D. “I was scared when I took my first baby home, but everything worked out.”
Correct Answer: D
Rationale: The best response by the nurse in this situation would be D. By sharing a personal experience of feeling scared when taking their first baby home, the nurse is empathizing with the patient and offering reassurance that everything worked out in the end. This can help the patient feel understood and less alone in their fear, while also providing hope that things will be okay. It validates the patient's feelings and offers a positive perspective, which can be therapeutic in this situation.
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A father and mother are carriers of phenylketonuria (PKU). Their 2-year-old daughter has the condition. The couple tells the nurse that they are having a second baby. Because their daughter has PKU, they are certain that this baby will not be affecteWhich response by the nurse is the most accurate?
- A. Good planning. You need to take advantage of the odds that are in your favor.
- B. I think you'd better first check with your physician.
- C. You are both carriers; therefore, each baby has a 25% chance of being affected.
- D. The ultrasound indicates a boy, and boys are not affected by PKU.
Correct Answer: C
Rationale: Each child conceived by this couple has a one-in-four chance of being affected with the PKU disorder. This couple still has an increased likelihood of having a child with PKU; having one child already with PKU does not guarantee that they will not have another. These parents need to discuss their options with their physician. However, an opportune time has presented itself for the couple to receive correct teaching about inherited genetic risks. No correlation exists between gender and inheritance of the disorder, because PKU is an autosomal recessive disorder.
Which female reproductive organ(s) is(are) responsible for cyclic menstruation?
- A. Uterus
- B. Ovaries
- C. Vaginal vestibule
- D. Urethra
Correct Answer: A
Rationale: The uterus is responsible for cyclic menstruation as it responds to hormonal changes during the menstrual cycle.
Which statement is the most complete and accurate description of medical abortions?
- A. Medical abortions are performed only for maternal health.
- B. They can be achieved through surgical procedures or with drugs.
- C. Medical abortions are mostly performed in the second trimester.
- D. They can be either elective or therapeutic.
Correct Answer: D
Rationale: Medical abortions can be either elective (the woman's choice) or therapeutic (for maternal or fetal health). They are typically performed in the first trimester using medication.
Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?
- A. Moderate bright red lochial flow
- B. Breasts firm and tender
- C. Fundus below the symphysis and nonpalpable
- D. Episiotomy slightly red and puffy
Correct Answer: C
Rationale: By postpartum day 14, the fundus should be below the symphysis and nonpalpable, indicating normal involution.
A nurse is discussing recommendations for daily nutrient intake during pregnancy with a client who is at 10 weeks of gestation. For which of the following nutrients should the nurse instruct the client to increase intake during pregnancy?
- A. Vitamin E
- B. Vitamin D
- C. Fiber
- D. Calcium
Correct Answer: D
Rationale: Calcium is crucial for fetal bone and teeth development during pregnancy.