Nokea
Which site should the nurse use to assess the pulse of a baby?
- A. Carotid.
- B. Radial.
- C. Brachial.
- D. Pedal.
Correct Answer: C
Rationale: Brachial pulse is easily accessible in infants.
You may also like to solve these questions
The nurse screens for risk factors such as an infant in the neonatal intensive care unit (NICU), difficulty in role transition, birth complications, unmet social and physical needs, and lack of partner support for what complication?
- A. maladaptive parenting
- B. psychosis
- C. postpartum depression
- D. bipolar disorder
Correct Answer: C
Rationale: The correct answer is C: postpartum depression. Screening for risk factors such as a baby in the NICU, difficulty in role transition, birth complications, unmet social and physical needs, and lack of partner support are all associated with an increased risk for postpartum depression. Postpartum depression is a common complication that affects many new mothers and can have significant impacts on both the mother and the baby's well-being. It is important for healthcare providers to be vigilant in screening for these risk factors to identify and support mothers at risk for postpartum depression.
Summary:
A: maladaptive parenting - Not directly related to the risk factors listed.
B: psychosis - Not typically associated with the listed risk factors.
D: bipolar disorder - While bipolar disorder can occur postpartum, the listed risk factors are more specifically linked to postpartum depression.
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.
A woman is receiving Paxil (paroxetine) for postpartum depression. To prevent a drug/food interaction, the client must be advised to refrain from consuming which of the following?
- A. Alcohol.
- B. Grapefruit.
- C. Milk.
- D. Cabbage.
Correct Answer: B
Rationale: Grapefruit affects drug metabolism.
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 home care nurse is visiting a breastfeeding client who is 2 weeks postdelivery of a 7-lb baby girl over a midline episiotomy. Which of the following findings should take priority?
- A. Lochia is serosa.
- B. Client cries throughout the visit.
- C. Nipples are cracked.
- D. Client yells at the baby for crying.
Correct Answer: D
Rationale: Yelling at the baby raises concerns about bonding.