After an emergency birth, the nurse encourages the woman to breastfeed her newborn. The primary purpose for this action is to:
1. facilitate maternal-newborn interaction.
2. stimulate the uterus to contract.
3. prevent neonatal hypoglycemia.
4. initiate the lactation cycle.
2
1. Incorrect. Breastfeeding is a positive way to facilitate maternal-newborn interactions, but is not the primary reason that a woman is encouraged to breastfeed after an emergency birth.
2. Correct. Stimulation of the nipples via breastfeeding or manual stimulation will release oxytocin and prevent maternal hemorrhage.
3. Incorrect. The primary intervention to prevent neonatal hypoglycemia is by thermoregu-lation. Cold stress can result in hypoglycemia. The woman is encouraged to breastfeed after an emergency birth to stimulate the release of oxytocin and prevent hemorrhage.
4. Incorrect. Breastfeeding is encouraged to initiate the lactation cycle, but is not the prima-ry reason following an emergency birth. Stimulation of the nipples via breastfeeding or ma-nual stimulation will release oxytocin and prevent maternal hemorrhage.
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There are several general environmental health competencies for nurses. An example of the competency "assessment and referral" is
1. Nurses should be advocates for public policy changes. 2. Nurses should understand policy framework and major pieces of legislation. 3. Nurses should be able to successfully complete an environmental health history. 4. Nurses should understand scientific principles about the relationship between individuals and the environment.
A client has sustained a large blood loss. During the assessment, the nurse realizes that which findings are under the control of the nervous system?
A. Heart rate B. Blood pressure C. Pupil size D. Bowel sounds E. Fluid volume
Each calibration mark on a 3-cc syringe represents
A. 10 units. B. two-tenths of a milliliter. C. 1 milliliter. D. 1 unit.
The nurse is caring for a client who has been given one year to live. Which of the following is a useful nursing intervention to treat the anxiety of the client and family associated with receiving a terminal diagnosis?
1. Explore the client and family's history with other stressful life events and how successful coping was at that time 2. Teach the family that while talking with the client about death and dying is permissible, they should not allow the client to dwell on death 3. Supply information about the client's disease process and the expected trajectory of death only on a need to know basis 4. Encourage early pharmaceutical intervention with anti-anxiety and sedative medications