The perinatal nurse observes the new mother watching her baby daughter closely, touching her face, and asking many questions about infant feeding. This is best described as which stage of mothering?
A.
Taking charge
B.
Taking hold
C.
Taking in
D.
Taking time
ANS: A
As the mother's physical condition improves, she begins to take charge and enters the taking-hold phase, in which she assumes care for herself and her infant. At this time, the mother eagerly wants information about infant care and shows signs of bonding with her infant. During this phase, the nurse should closely observe mother-infant interactions for signs of poor bonding and, if present, implement actions to facilitate attachment.
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A patient is admitted to the emergency department with clinical indications of an acute myocardial infarction. Symptoms began 3 hours ago. The facility does not have the capability for percutaneous coronary intervention
Given this scenario, what is the priority intervention in the treatment and nursing management of this patient? a. Administer thrombolytic therapy unless contraindicated b. Diurese aggressively and monitor daily weight c. Keep oxygen saturation levels at least 88% d. Maintain heart rate above 100 beats/min
The nurse is straining the client's urine and measuring the output. Which should be recorded as objective data?
a. The client complained of abdominal pain this morning. b. There were no stones in the client's strained urine. c. The client said he didn't see any stones in the urine. d. The client states, "It felt like I passed a stone."
If a patient's threshold set point for anxiety is lowered, the nurse can expect subsequent stressors to
a. have a lesser effect. b. easily reactivate the anxiety response. c. produce marked personality disorganization. d. be easily managed using familiar coping strategies.
The patient's skin is thin and tight. Which approach should the nurse implement to maintain skin integrity?
a. Increase bathing to three times daily. b. Use very mild soap or a prepackaged bath. c. Avoid lotions to help retain skin moisture. d. Massage the skin briskly to increase cir-culation.