On observing a woman on her first postpartum day sitting in bed while her newborn lies awake in the bassinet, the nurse should
a. Realize that this situation is perfectly acceptable.
b. Offer to hand the baby to the woman.
c. Hand the baby to the woman.
d. Explain "taking in" to the woman.
C
Feedback
A This is expected behavior during the taking-in phase. However, interventions can
facilitate infant bonding.
B The woman is dependent and passive at this stage and may have difficulty
making a decision.
C During the "taking-in" phase of maternal adaptation, in which the mother may be
passive and dependent, the nurse should encourage bonding when the infant is in
the quiet alert stage. This is done best by simply giving the baby to the mother.
D She learns best during the taking-hold phase.
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A 7-year-old child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. Physical exam and all ordered lab work have been normal
The statement by the nurse working with this child that would be most likely to help determine the etiology of this child's abdominal pain is: 1. "Have there been any changes in your child's school or home life recently?" 2. "Tell me what your child usually eats on a normal day." 3. "Are your child's immunizations up to date?" 4. "Has your child had any fevers or viral illnesses in the last three months?"
A client with type 2 diabetes mellitus delivered a fetus weighing 7 lb, 14 oz 2 hours ago. The infant's blood glucose is currently 45 mg/dL. What should the nurse do?
1. Begin an IV of 10% dextrose. 2. Document the findings in the chart. 3. Feed the baby 1 oz of formula. 4. Recheck the blood sugar in 4 hours.
The patient is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The patient's outcome is "Patient will state a key point about antibiotic treatment for cellulitis." Which statement would the nurse evaluate as best indicating this outcome has been met?
1. "If the pain gets too bad, I can take my prescribed pain medication." 2. "If the swelling continues, I can apply an ice pack." 3. "I need to take all the pills even if my leg looks better." 4. "I must keep my leg elevated until the swelling goes down."
Which of the following is characteristic of the cognitive changes in a preschooler?
a. The ability to think in a logical manner about the here and now b. The ability to think abstractly and deal effectively with hypothetical problems c. The inability to assume the view of another person and to use symbols to represent others d. The ability to classify objects by size or color