Nokea
What percentage of weight loss did the baby experience? Calculate to the nearest hundredth.
- A. 5.55%
- B. 7.20%
- C. 6.85%
- D. 6.90%
Correct Answer: B
Rationale: Calculation: (3,278 - 3,042) / 3,278 * 100 = 7.20%
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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.
The nurse educates the postpartum person on bowel discomfort. What instructions would they give?
- A. Limit water intake.
- B. Use laxatives daily.
- C. Ambulate often.
- D. Avoid stool softeners.
Correct Answer: C
Rationale: The correct answer is C: Ambulate often. After childbirth, ambulation helps stimulate bowel movements, preventing constipation. Walking helps promote peristalsis and improves overall bowel function.
Choice A: Limit water intake - Incorrect. Hydration is important for bowel function and limiting water intake can worsen constipation.
Choice B: Use laxatives daily - Incorrect. Daily use of laxatives can lead to dependence and disrupt natural bowel function.
Choice D: Avoid stool softeners - Incorrect. Stool softeners can be beneficial in preventing constipation and should not be avoided without medical advice.
A woman, 26 weeks' gestation, has just delivered a fetal demise. Which of the following nursing actions is appropriate at this time?
- A. Remind the mother that she will be able to have another baby in the future.
- B. Dress the baby in a tee shirt and swaddle the baby in a receiving blanket.
- C. Ask the woman if she would like the doctor to prescribe a sedative for her.
- D. Remove the baby from the delivery room as quickly as possible.
Correct Answer: B
Rationale: Providing dignity to the baby is important.
A client is 1 day post-cesarean section with spinal anesthesia. Even though the nurse advised against it, the client has had the head of her bed in high Fowler's position since delivery. Which of the following complications would the nurse expect to see in relation to the client's action?
- A. Postpartum hemorrhage.
- B. Severe postural headache.
- C. Pruritic skin rash.
- D. Paralytic ileus.
Correct Answer: B
Rationale: High Fowler's position increases the risk of postural headaches.
A breastfeeding mother mentions to the nurse that she has heard that babies sleep better at night if they are given a small amount of rice cereal in the evening. Which of the following comments by the nurse is appropriate?
- A. That is correct. The rice cereal takes longer for them to digest so they sleep better and longer.
- B. It is recommended that babies receive only breast milk for the first 4 to 6 months of their lives.
- C. It is too early for rice cereal
- D. but I would recommend giving apple sauce at 3 months of age and apple juice 1 month later.
Correct Answer: B
Rationale: Exclusive breastfeeding is recommended for the first 6 months.