Which anticipatory guidance action by the nurse makes role transition to parenthood easier?
- A. Helps the new parents identify resources.
- B. Recommends employing babysitters frequently.
- C. Tells the parents about the realities of parenthoo
- D. Offers a home phone number and tells parents to call if they have a question.
Correct Answer: A
Rationale: The correct answer is A because helping new parents identify resources promotes a smoother role transition by providing support and guidance. This action empowers parents to access necessary services and assistance. Choice B is incorrect as frequent babysitting does not address the parents' transition needs. Choice C is incorrect because focusing on the negatives may increase anxiety. Choice D is incorrect as it lacks proactive support and guidance.
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Four pregnant women advise the nurse that they wish to breastfeed their babies. Which of the mothers should be advised to bottle feed her child?
- A. The woman with a neoplasm requiring chemotherapy.
- B. The woman with cholecystitis requiring surgery.
- C. The woman with a concussion.
- D. The woman with thrombosis.
Correct Answer: A
Rationale: Chemotherapy agents can harm the baby through breast milk.
A 2-day-old breastfeeding baby born via normal spontaneous vaginal delivery has just been weighed in the newborn nursery. The nurse determines that the baby has lost 3.5% of the birth weight. Which of the following nursing actions is appropriate?
- A. Do nothing because this is a normal weight loss.
- B. Notify the neonatologist of the significant weight loss.
- C. Advise the mother to bottle feed the baby at the next feed.
- D. Assess the baby for hypoglycemia with a glucose monitor.
Correct Answer: A
Rationale: Weight loss up to 7-10% is considered normal in the first few days due to fluid loss; 3.5% does not warrant immediate intervention.
A postpartum client has been diagnosed with deep vein thrombosis. For which of the following additional complications is this client high risk?
- A. Hemorrhage.
- B. Stroke.
- C. Endometritis.
- D. Hematoma.
Correct Answer: B
Rationale: DVT increases stroke risk due to clot migration.
A breastfeeding woman has been diagnosed with retained placental fragments 4 days postdelivery. Which of the following breastfeeding complications would the nurse expect to see?
- A. Engorgement.
- B. Mastitis.
- C. Blocked milk duct.
- D. Low milk supply.
Correct Answer: B
Rationale: Retained fragments increase infection risk.
A nurse is teaching a mother how to care for her 3-day-old son's circumcised penis. Which of the following actions demonstrates that the mother has learned the information?
- A. The mother cleanses the glans with a cotton swab dipped in hydrogen peroxide.
- B. The mother covers the glans with antifungal ointment after rinsing off any discharge.
- C. The mother squeezes soapy water from the wash cloth over the glans.
- D. The mother replaces the dry sterile dressing before putting on the diaper.
Correct Answer: D
Rationale: Proper care involves keeping the area clean and dry, with a sterile dressing if necessary.