A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The physician explained the plan of therapy and its expected good results
However, the mother refuses to see or hold her baby. Initial therapeutic approach to the mother should be to:
a. Restate what the physician has told her about plastic surgery.
b. Encourage her to express her feelings.
c. Emphasize the normalcy of her baby and the baby's need for mothering.
d. Recognize that negative feelings toward the child continue throughout childhood.
ANS: B
For parents, cleft lip and cleft palate deformities are particularly disturbing. The nurse must place emphasis not only on the infant's physical needs but also on the parents' emotional needs. The mother needs to be able to express her feelings before the acceptance of her child can occur. Although discussing plastic surgery will be addressed, it is not part of the initial therapeutic approach. As the mother expresses her feelings, the nurse's actions should convey to the parents that the infant is a precious human being. The child's normalcy is emphasized, and the mother is assisted to recognize the child's uniqueness. A focus on abnormal maternal-infant attachment would be inappropriate at this time.
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The nurse takes into consideration that the most common congenital heart defect is the ____________ ____________ defect
ANS:
In caring for a 6-year-old who entered the emergency center for treatment of a broken arm, the nurse noted that the child had multiple bruises on his trunk and legs
When questioned, the child said his father hit him and broke his arm so that the child would remember to be good. What should the nurse do? 1. Chart that the child is a victim of child abuse, so that there is a record of the abuse should such behavior reoccur. 2. Downplay the child's comments, because children often exaggerate. 3. Do nothing, because the nurse cannot prove the child was really abused, and saying anything could open the institution to a possible defamation lawsuit. 4. Report the incident immediately to the nursing supervisor or physician so that the incident will be reported to the proper authorities.
A nurse applies a cooling blanket to a patient with a temperature of 10E.4°F. The nurse would recognize which of the following as an indication of therapeutic effectiveness?
1. The patient begins to shiver. 2. The blood pressure and pulse increase. 3. The temperature slowly falls to 100°F. 4. The level of consciousness decreases.
A nurse working with clients at or below the poverty level recognizes that the life expectancy of these clients is lower than the general population because of: (select all that apply.)
1. Inadequate nutritional diets 2. High-risk work environments 3. Hazardous living environments 4. Addictive and abusive lifestyles 5. Predisposition to chronic diseases 6. Ineffective decision making abilities