Nokea
What do ineffective parenting practices put the newborn at risk for?
- A. sleeplessness
- B. reflux
- C. lack of attachment
- D. NICU admission
Correct Answer: C
Rationale: The correct answer is C: lack of attachment. Ineffective parenting practices can lead to difficulties in forming a secure attachment bond with the newborn, which is crucial for their emotional and social development. This can result in long-term negative outcomes such as behavioral issues and emotional instability.
Incorrect choices:
A: Sleeplessness is a common issue for newborns but is not directly caused by ineffective parenting practices.
B: Reflux can occur in newborns due to various reasons, not necessarily related to parenting practices.
D: NICU admission may be necessary for certain medical conditions unrelated to parenting practices.
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Using the Neonatal Infant Pain Scale (NIPS), a nurse is assessing the pain response of a newborn who has just had a circumcision. The nurse is assessing a change in which of the following signs/symptoms? Select all that apply.
- A. Heart rate.
- B. Blood pressure.
- C. Temperature.
- D. Facial expression.
Correct Answer: A
Rationale: Heart rate and facial expression are key indicators of neonatal pain.
The nurse assesses the fundus and finds it to be boggy, elevated >2 fingerbreadths above the umbilicus, and deviated to one side. What is the common cause of this finding?
- A. uterine rupture
- B. full bladder
- C. perineal laceration
- D. hematoma
Correct Answer: B
Rationale: The correct answer is B: full bladder. A full bladder can cause the fundus to be boggy, elevated, and deviated to one side due to impeding the uterus from contracting properly. This can lead to postpartum hemorrhage. Uterine rupture (A) would present with severe abdominal pain and signs of shock. Perineal laceration (C) would not cause these fundus changes. Hematoma (D) would present with localized swelling and pain, not fundal changes.
Which of the following behaviors would be applicable to a nursing diagnosis of Risk for Impaired Parenting?
- A. En face behavior is observed between father and infant.
- B. Mother relates that she feels exhilarated postbirth.
- C. Mother states that she feels excessive fatigue as a result of the childbirth
- D. Father displays finger tipping behavior toward infant.
Correct Answer: C
Rationale: The correct answer is C because excessive fatigue post-childbirth can indicate a risk for impaired parenting due to the physical and emotional toll it takes on the mother's ability to care for her infant. This aligns with the defining characteristics of Risk for Impaired Parenting.
A: En face behavior is a positive interaction between parent and infant, not indicative of impaired parenting.
B: Feeling exhilarated post-birth is a normal emotional response and does not necessarily indicate impaired parenting.
D: Finger tipping behavior towards infant is vague and does not specifically relate to impaired parenting.
A breastfeeding client is being seen in the emergency department with a hard, red, warm nodule in the upper outer quadrant of her left breast. Her vital signs are: T 104.6°F, P 100, R 20, and BP 110/60. She has a recent history of mastitis and is crying in pain. Which of the following nursing diagnoses is highest priority?
- A. Ineffective breastfeeding.
- B. Infection.
- C. Ineffective individual coping.
- D. Pain.
Correct Answer: B
Rationale: Infection is the primary concern.
The nurse is assessing a newborn on admission to the newborn nursery. Which of the following findings should the nurse report to the neonatologist?
- A. Intracostal retractions.
- B. Caput succedaneum.
- C. Epstein's pearls.
- D. Harlequin sign.
Correct Answer: A
Rationale: Intracostal retractions indicate respiratory distress and require immediate attention.