The nurse is preparing a class for mothers and their partners who have just recently delivered. One topic of the class is infant attachment
Which statement by a participant indicates an understanding of this concept? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "We should avoid holding the baby too much."
2. "Looking directly into the baby's eyes might frighten him."
3. "Talking to the baby is good because he'll recognize our voices."
4. "Holding the baby so we have direct face-to-face contact is good."
5. "We should only touch the baby with our fingertips for the first month."
3, 4
Explanation: 3. Attachment behaviors include cuddling, soothing, and calling the baby by name.
4. Attachment behaviors include holding the baby in the en face position.
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When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o'clock in each eye. The nurse should:
a. Consider this a normal finding. b. Refer the individual for further evaluation. c. Document this finding as an asymmetric light reflex. d. Perform the confrontation test to validate the findings.
Exudate formation at the inflammatory site functions to: (Select all that apply.)
a. opsonize bacteria. b. dilute toxins. c. deliver proteins. d. attach to the target cell. e. carry away toxins.
A teenage boy has an uncircumcised penis and is receiving instruction on how to clean the area. The nurse knows that the teen understands the teaching when he states:
1. "I only need to clean the area once a week.". 2. "I will need to use force to retract the foreskin in order to clean the penis.". 3. "I need to pull the foreskin over the glans when it is dry.". 4. "I should not need to cleanse the area often.".
A client is diagnosed with a gastric ulcer secondary to NSAID overuse. The nurse would question which health care provider order?
1. Clarithromycin 2. Omeprazole 3. Famotidine 4. Ranitidine