Which practice would be least effective in promoting bonding and attachment?
A) Allowing unlimited visiting hours on maternity units
B) Offering round-the-clock nursery care for all infants
C) Promoting rooming-in
D) Encouraging infant contact immediately after birth
B
Response:
Factors that can affect attachment include separation of the infant and parents for long times during the day, such as if the infant was being cared for in the nursery throughout the day. Unlimited visiting hours, rooming-in, and infant contact immediately after birth promote bonding and attachment.
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With regard to the newborn's developing cardiovascular system, nurses should be aware that
a. The heart rate of a crying infant may rise to 120 beats/min. b. Heart murmurs heard after the first few hours are cause for concern. c. The point of maximal impulse (PMI) often is visible on the chest wall. d. Persistent bradycardia may indicate respiratory distress syndrome (RDS).
A patient is diagnosed with a pneumothorax. The nurse realizes that unless this is treated, the patient is at risk for developing which type of shock?
1. obstructive 2. hypovolemic 3. cardiogenic 4. neurogenic
The nurse recognizes that there are differences between fat-soluble and water-soluble vitamins. Which of the following is one of those differences?
A) Water-soluble vitamins are more essential to life than fat-soluble vitamins. B) Water-soluble vitamins attach to protein carriers to be transported through the blood. C) Water-soluble vitamins should be consumed daily. D) Water-soluble vitamins are stored primarily in the liver and adipose tissue.
The nurse listens to a client who spends time describing her delusion about being a great religious leader, because the nurse is assessing for which of the following?
a. a clue for what rationale to use in challenging the delusion b. the effect of the delusion on the client's judgment and responses c. contents of the delusion that are real and need to be accepted d. the client's beliefs about God