Nokea
What physical findings would the nurse expect in a bulimic client?
- A. Mastoiditis.
- B. Hirsutism.
- C. Gynecomastia.
- D. Esophagitis.
Correct Answer: D
Rationale: Repeated vomiting damages the esophagus.
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When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief?
- A. Birth is viewed as a medical event.
- B. Families are unable to make informed choices due to stress.
- C. Birth results in changes in relationships.
- D. Families require little information to make appropriate decisions for care.
Correct Answer: C
Rationale: Family-centered care is based on the following principles: Birth affects the entire family, and relationships will change; birth is viewed as a normal, healthy event in the life of the family; and families are capable of making decisions about their own care if given adequate information and professional support.
After her baby's birth a patient wishes to begin breastfeeding. The nurse assists the client by:
- A. Positioning the infant to grasp the nipple to express milk.
- B. Giving the infant a bottle first to evaluate the baby's ability to suck
- C. Leaving them alone and allowing the infant to nurse as long as desired
- D. Touching the infant's cheek adjacent to the nipple to elicit the rooting reflex
Correct Answer: D
Rationale: The rooting reflex helps initiate breastfeeding.
In teaching parents to use a bulb syringe to suction an infant, the nurse should teach them to:
- A. suction the back of the throat vigorously.
- B. always suction the nose before suctioning the mouth.
- C. use it only once a day.
- D. insert the syringe into the sides of the mouth.
Correct Answer: B
Rationale: Suctioning the nose first prevents pushing secretions further down the throat.
What is the first action for a mother experiencing excessive bleeding two hours postpartum?
- A. Monitor blood pressure and heart rate
- B. Perform uterine massage to stimulate contractions
- C. Prepare for a possible blood transfusion
- D. Notify the healthcare provider immediately
Correct Answer: A
Rationale: Uterine massage stimulates contractions, which can reduce postpartum bleeding.
The nurse teaches a new mother that neonatal weight loss in the first 3 days of life is most often the result of:
- A. Allergy to formula
- B. a hypoglycemic response
- C. Inadequate breast or formula feeding
- D. Excretion of fluid via lungs, urinary bladder and bowels.
Correct Answer: D
Rationale: Fluid loss is the primary cause of early weight loss.