Nurse P works in a well baby clinic. Because most of her mothers and babies live in a very rural area she is careful to:
1. Teach mother's the importance of supplemental fluoride.
2. Measure each child's length and plot on a growth chart.
3. Ask about family pets.
4. Refer qualifying mother's to WIC.
1
Rationale: Fluoride is essential for the mineralization of bones and teeth and supplementation may be necessary for children living in rural areas not having a fluorinated water supply. Measuring length and plotting it on a growth chart is a normal part of all well baby clinics. Inquiring about family pets is important regardless of geographic location of the clinic. All mothers are who qualify for WIC should be referred regardless of the area where they live.
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A family was dependent on the dad for financial support, and now he is in treatment for alcoholism. The wife asks you how long this will take. Which of the following would be the most appropriate response by the nurse?
a. "Don't worry about length of time. Focus on helping him avoid alcohol." b. "It all depends on how badly he wants to hold the family together as opposed to enjoying the relief of drinking again." c. "Once an alcoholic, always an alcoholic. He'll have to avoid liquor the rest of his life." d. "Remaining in treatment is crucial; it must last long enough to produce stable behavioral changes."
The nurse is preparing an in-service presentation for a group of middle school nurses. Which statements by the nurse would indicate that the nurse understands the role of culture in adolescent pregnancy? Select all that apply
1. "Eighty-five percent of teen mothers are middle class, and give birth to gain adult status." 2. "Teens who have a lot of time without adult supervision are more sexually active." 3. "Although the rate has dropped, teens of color are more likely to become pregnant." 4. "Young teens who have a child are more likely to have another while still a teen." 5. "Most pregnant teens do not have any relatives who had their first child as teens."
The nurse is training a nurse new to the labor and delivery unit. They are caring for a laboring patient who will have a forceps delivery. Which action or assessment finding requires intervention?
1. Regional anesthesia is administered via pudendal block. 2. The patient is instructed to push between contractions. 3. Fetal heart tones are consistently between 110 and 115. 4. The patient's bladder is emptied using a straight catheter.
Which of the following promotes comfort?
a. Clothes which are scattered across the floor b. Multiple stacks of mail and magazines c. An odor-free room d. A room temperature below 70° F