While caring for a new mother on her second day postpartum, you notice that she handles her newborn tentatively, not kissing her child during the time she holds him. Which of the following would you suspect as the probable reason for this?
A) She is disappointed in the child's sex.
B) She has difficulty accepting her role change.
C) She is reacting normally to accepting a new child.
D) Her cultural customs do not include kissing children.
C
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A primipara client gave birth vaginally to a healthy newborn girl 12 hours ago. The nurse palpates the client's fundus, expecting it to be:
A) Two fingerbreadths above the umbilicus B) At the level of the umbilicus C) Two fingerbreadths below the umbilicus D) Four fingerbreadths below the umbilicus
To build relational continuity with each client, the nurse strives for
a. the use of data to tailor current treatment and care to each client's evidenced needs. b. accurate record sharing and technology to allow real-time communication exchanges between providers and with clients in remote sites. c. a consistent, coherent care management approach that can be flexibly adjusted as client needs change. d. a therapeutic relationship with a practitioner that spans more than one episode of care and leads, in the practitioner, to a sense of clinical responsibility and an accumulated knowledge of the client's personal and medical circumstances
A preschooler's mother wants to orient her well to school. Activities she needs to carry out with her would include
A) warning her how many rules there will be in school. B) encouraging her to work on projects lying on the floor so she will appreciate school tables. C) pointing out how to go to school when she goes past it while shopping. D) talking about school as an enjoyable experience.
A child with ALL is receiving methotrexate for therapy. Which nursing diagnosis below would best apply to him during therapy?
A) Risk for impaired skin integrity related to oral ulcerations associated with chemotherapy B) Risk for impaired mobility related to depressant effects of methotrexate C) Excess fluid volume related to effect of methotrexate on aldosterone secretion D) Risk for self-directed violence related to effect of methotrexate on central nervous system