Nokea
The primiparous client,who delivered a term newborn is a lesbian,achieved her pregnancy via artificial insemination and is in a monogamous relationship with a female partner. Which intervention should the nurse add to the newborn’s care plan?
- A. Avoid acknowledging the client’s lesbian relationship.
- B. Encourage the client’s partner to participate in newborn cares.
- C. Ask the partner to leave the room when the newborn is present.
- D. Avoid telling the newborn’s caregivers about the client’s situation.
Correct Answer: B
Rationale: Encouraging the partner to participate in newborn care shows respect and promotes bonding similar to heterosexual partners. Ignoring the relationship or excluding the partner is disrespectful.
You may also like to solve these questions
The nurse correctly explains that, during adolescence, being with a peer group and mimicking peer behaviors is part of the process of achieving which developmental task?
- A. Identity
- B. Intimacy
- C. Integrity
- D. Idealism
Correct Answer: A
Rationale: Adolescence involves developing a sense of identity, often through peer group interactions and mimicking behaviors, as teens explore their place in the world.
Which nursing instruction concerning ice applications is appropriate to give the parents of a 12-year-old child with a sprained ankle?
- A. Ice can be applied and left on until the swelling is gone.
- B. Ice can be applied but must be removed every 30 minutes to 1 hour to check the ankle.
- C. Ice should not be used for treating sprains; heat should be used instead.
- D. There is no danger associated with the application of ice.
Correct Answer: B
Rationale: Ice should be applied intermittently (e.g., 20-30 minutes on, then off) to prevent tissue damage and allow skin assessment, making removal every 30 minutes to 1 hour appropriate.
When caring for a child with measles, which precaution is most appropriate for the nurse to implement?
- A. Standard precautions
- B. Droplet precautions
- C. Contact precautions
- D. Airborne precautions
Correct Answer: D
Rationale: Measles is highly contagious and spreads via airborne transmission, requiring airborne precautions, including a negative-pressure room and N95 respirator use.
The nurse evaluates a preterm infant after a gavage feeding. The nurse determines that feeding intolerance has developed when which finding is noted during assessment?
- A. The infant immediately falls asleep after feeding.
- B. The gastric residual is zero prior to the next feeding.
- C. The infant’s abdominal girth has increased in size.
- D. The infant is having soft,loose stools.
Correct Answer: C
Rationale: Increased abdominal girth indicates feeding intolerance suggesting issues like paralytic ileus or NEC. Sleeping zero residual and loose stools are normal.
While supervising the LPN,the RN determines that the LPN needs additional instruction in newborn care. Which action by the LPN prompted the nurse’s conclusion?
- A. Assessed the newborn’s heart rate apically
- B. Covered the newborn’s head with a stocking cap
- C. Checked the newborn’s temperature rectally
- D. Positioned the newborn supine while sleeping
Correct Answer: C
Rationale: Rectal temperature checks risk mucosal irritation or perforation. Apical HR assessment stocking caps and supine positioning (to reduce SIDS risk) are correct practices.