Nokea
Which statement made by a nursing student would best indicate that her education on family-centered care was fully understood?
- A. Childbirth affects the entire family, and relationships will change.
- B. Families are usually not capable of making health care decisions for themselves, especially in stressful situations.
- C. Mothers are the only family member affected by childbirth.
- D. Since childbirth is a medical procedure, it may affect everyone.
Correct Answer: A
Rationale: Childbirth affects the entire family, and relationships will change. Childbirth is viewed as a normal life event, not a medical procedure. Families are very capable of making health care decisions about their own care with proper information and support.
You may also like to solve these questions
What physical findings would the nurse expect to see in a woman diagnosed with primary syphilis?
- A. Cluster of vesicles.
- B. Pain-free lesion.
- C. Macular rash.
- D. Foul-smelling discharge.
Correct Answer: B
Rationale: A pain-free chancre is characteristic of primary syphilis.
In what way is the Mongan Method of childbirth education beneficial to birthing people?
- A. It helps people push with great effort in second stage labor.
- B. Birthing people feel confident about the use of an epidural to relax the body.
- C. People are taught how to release fear to decrease pain.
- D. HypnoBirthing is proven to be 100 percent effective in relieving pain in labor.
Correct Answer: C
Rationale: The Mongan Method focuses on releasing fear to reduce pain, promoting a calm birthing experience.
A newborn's birth was prolonged because the shoulders were very wide. The nurse performing the assessment would be particularly observant for a problem with the:
- A. Moro reflex
- B. Plantar reflex
- C. Babinski reflex
- D. Stepping reflex
Correct Answer: A
Rationale: The Moro reflex is a normal infantile reflex that is typically present at birth and disappears around 4-6 months of age. This reflex is triggered by a sudden loss of support or a loud noise, causing the infant to throw back the head and extend the arms in a gesture as if trying to grab something. In a situation where the newborn's birth was prolonged due to wide shoulders, there is a higher risk of injury to the brachial plexus (nerves that control arm movement) during delivery. Damage to the brachial plexus can result in weakness or paralysis of the affected arm, and this may impact the Moro reflex as it involves the arms' movement. Therefore, the nurse would be particularly observant for any abnormality or lack of response in the Moro reflex as it may indicate potential nerve injury related to the difficult birth.
A nurse is conducting an orientation program for a group of newly hired nurses. As part of the program, the nurse is reviewing the issue of informed consent. The nurse determines that the teaching was effective when the group identifies which situation as a violation of informed consent?
- A. Performing a procedure on a 15-year-old without parental consent
- B. Serving as a witness to the signature process on an operative permit
- C. Asking whether the client understands what she is signing following receiving education
- D. Getting verbal consent over the phone for an emergency procedure from the spouse of a unconscious woman
Correct Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent for health care. Serving as a witness to the signature process, asking whether the client understands what she is signing, and getting verbal consent over the phone for emergency procedures are all key to informed consent and are not violations.
A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
- A. "should position my baby's car seat at a 45-degree angle in the car."
- B. "should place the car seat rear facing until my baby is 12 months old."
- C. "should place the harness snugly in a slot above my baby's shoulders."
- D. "should position the retainer clip at the top of my baby's abdomen."
Correct Answer: B
Rationale: The correct statement indicating an understanding of car seat safety is "I should place the car seat rear facing until my baby is 12 months old." This statement reflects the current recommendation by the American Academy of Pediatrics (AAP), which suggests that infants should ride in a rear-facing car seat until they are at least 2 years old or until they reach the maximum height or weight limit allowed by the car seat manufacturer. This position provides the best protection for the baby's head, neck, and spine in the event of a crash. The other statements are incorrect: