The nurse is developing a plan of care for a client who is in the "taking-in" phase after delivering a healthy baby boy. Which of the following should the nurse include in the plan?
a. Provide the client with a nutritious meal.
b. Teach baby care skills like diapering.
c. Discuss the pros and cons of circumcision.
d. Counsel her regarding future sexual encounters.
ANS: a
Feedback
a. Mothers are very hungry immediately after delivery. The nurse should provide the client with food.
b. Baby care skills should be taught during the "taking-hold" phase.
c. Baby care needs should be discussed during the "taking-hold" phase.
d. A discussion of sexual issues should be deferred until the "taking-hold" phase or the "letting go" phase.
You might also like to view...
The nursing instructor is questioning a nursing student about the organs of the immune system and asks the student where Kupffer's cells are located. The student responds correctly by stating that these types of cells are located in the:
1. Liver 2. Tonsils 3. Spleen 4. Bone marrow
The perinatal nurse teaches the new mother and her family about appropriate infant care to prevent omphalitis. Information given would include which of the following instructions?
A. Apply a mild soap and lotion to dry skin. B. Change diapers frequently following circumcision. C. Keep the base of the umbilical cord clean and dry. D. Take rectal temperatures twice a day for a week.
Directions: Determine the infusion time for the following IV. State time in both traditional and military time. Round minutes to the nearest whole number of minutes
750 mL lactated Ringer solution at 80 mL/hr a. Determine the infusion time: _____ b. The IV was started at 7:00 AM. When will the infusion be complete? _____
The nurse assessing the level of consciousness in a patient will do the following (arrange in order, from the simplest to the most complex):
1. Apply pressure to the nailbed. 2. Shake patient. 3. Touch the patient. 4. Call the patient's name. 5. Approach the patient.