At the completion of a health interview, the nurse is concerned that a newborn is at risk for maltreatment. Which observation caused the nurse to come to this conclusion?
A) Mother does not look at the baby.
B) Mother helps the nurse loosen the baby's clothing for a physical examination.
C) Mother explains that the husband helps with feeding the baby during the night.
D) Mother quickly changes a dirty diaper and uses personal supplies to cleanse the child.
A
Feedback:
The mother's inability to establish eye contact, or maintain a direct en face position with the baby, can indicate the potential for child maltreatment. Helping the nurse loosen clothing for an examination, identifying someone to help with child care, and prompt attention to the baby's needs when changing a soiled diaper indicate the mother is bonding with the child, and the child is not at risk for maltreatment.
You might also like to view...
Which of the following structures and functions describes the ascending tracts of the spinal cord?
a. They are made of white matter and carry motor impulses. b. They are made of gray matter and carry motor impulses. c. They are made of white matter and carry sensory impulses. d. They are made of gray matter and carry sensory impulses.
A major factor in choosing the right antihypertensive medication for a patient with ICP is
A) cost. B) insurance coverage. C) risk of hypotension. D) risk of stroke.
In order to delegate, which must be present? Select all that apply
1. Accountability for the assignment on the part of the delegate 2. Accountability for the assignment on the part of the delegator 3. Authority by the delegator to assign the task to the delegate 4. Responsibility for task completion on the part of the delegate 5. Authority of the delegate to accomplish the task as assigned
What data are necessary to compile an effective end-of-shift report? (Select all that apply.)
a. Patient's mental status b. Status of lung sounds c. All pertinent nursing care d. The patient's favorite TV shows e. Visitors the patient had during the shift