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What does the nursing process describe?
- A. what nurses do
- B. how nurses think
- C. where nurses provide care
- D. who nurses care for
Correct Answer: B
Rationale: The nursing process describes how nurses think and approach patient care. It is a systematic problem-solving approach that nurses use to provide individualized patient care. The nursing process consists of five main steps: assessment, diagnosis, planning, implementation, and evaluation. Through this process, nurses gather information, identify patient problems, set goals, implement interventions, and evaluate outcomes. By following the nursing process, nurses can deliver holistic and effective care to their patients.
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Which nursing intervention is most appropriate for a breastfeeding mother experiencing engorgement?
- A. Apply cold compresses to the breasts after feeding
- B. Limit breastfeeding to every 6 hours
- C. Use formula supplements to reduce milk supply
- D. Massage the breasts before feeding
Correct Answer: A
Rationale: Cold compresses reduce swelling and discomfort during engorgement.
The nurse is teaching a client with a midline episiotomy about perineal care after vaginal birth. Which statement from the client indicates she
- B. I will use the perineal bottle without touching perineum each time going to the bathroom
- C. I will gently pat perineal dry rather than wipe
- D. I will only use the perineal bottle after bowel movements
Correct Answer: C
Rationale: This statement indicates a correct understanding of perineal care after a midline episiotomy. After vaginal birth, it is important to avoid wiping the perineal area to prevent irritation and infection. Instead, gently patting the area dry is recommended to promote healing and prevent discomfort. This approach helps to minimize trauma to the sensitive tissues of the perineum and reduces the risk of introducing bacteria from wiping.
A patient is trying to learn the cervical mucus detec- lung development tion natural family planning method. The patient
- A. Risk for dysfunctional gastrointestinal motility understands that which type of cervical mucus is related to birth before 38 weeks gestation the most fertile?
- B. Activity intolerance related to early gestational age
- C. Scant
- D. Purulent
Correct Answer: C
Rationale: In the cervical mucus detection natural family planning method, the type of cervical mucus that is related to the most fertile period is commonly described as "egg white cervical mucus". This type of mucus is clear, stretchy, and slippery, resembling raw egg whites. In contrast, "scant" cervical mucus refers to mucus that is minimal or in small quantity and is not associated with the peak fertility period. Purulent cervical mucus, on the other hand, is indicative of an infection and is not a normal finding related to fertility.
Which action is the most appropriate nursing measure when a baby has an unexpected defect at birth?
- A. Remove the baby from the delivery area immediately.
- B. Inform the parents immediately that something is wrong.
- C. Tell the parents that the baby has to go to the nursery immediately.
- D. Explain the defect and show the baby to the parents as soon as possible.
Correct Answer: D
Rationale: When a baby is born with an unexpected defect, it is crucial for the nursing staff to explain the defect to the parents and show the baby to them as soon as possible. This approach allows for open communication, transparency, and the opportunity for the parents to start processing the situation emotionally. By involving the parents and keeping them informed, trust and understanding can be established between the healthcare providers and the family, ultimately fostering a supportive environment for everyone involved in the care of the baby. It is essential to approach the situation with empathy and sensitivity while providing the necessary information to the parents.
What are the modes of heat loss in babies? SATA
- A. Radiation
- B. Conduction
- C. Convection
- D. Perspiration (baby's don't perspir
Correct Answer: A
Rationale: A. Radiation: Heat loss through radiation occurs when the baby is near a cold surface or in a drafty room, causing heat to transfer from the baby's body to the surrounding environment.