The nurse is planning care for clients seen in a newborn clinic. Which is the priority for a newborn client during the first clinic visit?
1. Providing pamphlets to reinforce information provided at the visit
2. Assessing the newborn-and-family interactions
3. Modeling infant-nurturing behaviors
4. Informing the parents of the infant's gains in height and weight
Correct Answer: 2
Rationale: The first step in the nursing process is assessment; therefore, the nurse should assess the interactions of the parents with the newborn. Providing pamphlets to help educate the parents should be done at each appropriate office visit; however, the pamphlets would be distributed after assessment of parent needs. While the nurse should be a role model for nurturing behaviors during the office visit, this would not be the first thing the nurse performs at the office visit. While parents are informed of the infant's gains in height and weight, this activity does not take priority.
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a. "The child needs firmer control. It is important to set limits now." b. "This is normal for your child's age. The child is striving for independence." c. "There may be developmental problems. Most children are toilet trained by age 2." d. "Some undesirable attitudes are developing. A child psychologist can help you develop a plan."
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a. Amitriptyline (Elavil), a sedating tricyclic medication b. Desipramine (Norpramin), a stimulating tricyclic medication c. Fluoxetine (Prozac), a selective serotonin reuptake inhibitor d. Tranylcypromine sulfate (Parnate), a monoamine oxidase inhibitor
The physician responsible for the care of the client has determined the need for the use of forceps. The client asks why this is needed. The nurse should explain that the client's indication for the use of forceps is:
A. Because her support person is exhausted. B. Due to premature placental separation. C. To shorten the first stage of labor. D. To prevent fetal distress.
The nurse is preparing to provide patient care. Which item is the most important for the nurse to wear if the possibility of handling body secretions exists?
a. Mask b. Gown c. Gloves d. Goggles