Health Promotion of Newborn to One year chapter 21 questions and answers, Rated A+

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A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarificatio... n? "I should not remove the yellow exudate on the end of the penis." "I will clean his penis with each diaper change." "The circumcision will heal completely within a couple of weeks." "I can give him a tub bath in two days." - ✔✔"I can give him a tub bath in two days." A nurse is discussing the use of condoms with a female client. Which of the following statements by client represents a need for further teaching? "My partner will put the condom on while his penis is erect." "I will remove the condom 30 minutes after intercourse." "My partner should leave an empty space at the tip." "I can use spermicidal gels or creams to increase effectiveness." - ✔✔"I will remove the condom 30 minutes after intercourse." A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor? "When did your contractions begin?" "Have you noticed any bloody show or fluid coming from your vagina?" "What happens to your contractions when you move about?" "Have you felt fetal movement over the last 24 hours?" - ✔✔b. "Have you noticed any bloody show or fluid coming from your vagina?" The client who is scheduled for a nonstress test (NST) asks the nurse to explain the purpose of the test. Which of the following is the correct response? The purpose of the NST is to assess the fetal CNS. The purpose of the NST helps to determine gestational age. The purpose of the NST is to determine fetal lie. The purpose of the NST is to determine fetal breathing. - ✔✔The purpose of the NST is to assess the fetal CNS. A client in the early postpartum period is talkative and enjoys recounting the details of her labor and birth. The nurse recognizes that the behaviors must likely indicate which of the following? The taking-hold phase of maternal psychosocial adaptation. The taking-in phase of maternal postpartum adjustment. Postpartum role transition. Positive mother-infant bonding. - ✔✔The taking-in phase of maternal postpartum adjustment. A nurse is positioning a client on the operating room table in preparation for a cesarean birth. Which of the following is the correct position? Lithotomy position with a foam wedge behind the shoulders. Supine position with foam wedge positioned under one hip. C Modified Trendelenburg position with a foam wedge under the legs. Left lateral position with a foam wedge between the legs. - ✔✔Supine position with foam wedge positioned under one hip. A nurse is caring for a neonate who exhibits abstinence syndrome and demonstrates clinical manifestations of the condition. Which assessment finding is associate with this condition? a. Negative Startle reflex b. Hypothermia c. Increased drowiness d. Diminished tendon reflexes - ✔✔Hypothermia Thirty minutes after admission to the nursery an infant appeared jittery and exhibits a weak, high pitched cry. Which of the following would be the nurse's priority action? Hold and comfort the infant to stop the crying. Feed the infant oral feeding. Perform a heel stick to check serum glucose. Obtain an order for a drug screening blood test. - ✔✔Perform a heel stick to check serum glucose. A nurse is assessing a client during her first prenatal visit. The client reports that her last normal period began on April 22. Use Nagele's rule to calculate this client's expected date of birth (EDB). Use the MMDD format to enter exactly four numerals, with no spaces or punctuation between the numbers. 0729 0129 0122 0722 - ✔✔0129 A nurse is performing a fundal assessment on the client's second postpartum day. Which of the following should the nurse expect if the client is experiencing normal involution? The fundus will be one centimeter above the umbilicus. The fundus will be two centimeters below the umbilicus. The fundus will be one centimeter below the umbilicus. The fundus will be at the level of the umbilicus. - ✔✔The fundus will be one centimeter below the umbilicus. A nurse is teaching a client the correct use a diaphragm as a method of contraception. Which of the following statements is correct? Douche promptly after removing the diaphragm Do not use any cream or jelly with the diaphragm Insert diaphragm at least 8 hours prior to sexual intercourse Leave diaphragm in place for at least 6 hours post coitus - ✔✔Leave diaphragm in place for at least 6 hours post coitus The client asks the nurse to explain the difference between true and false labor. Which of the following is an example of true labor? In true labor the cervix will dilate and efface In true labor walking will cause contractions to slow down In true labor the presenting part is engaged In true labor contractions are felt in the abdomen above the umbilicus - ✔✔In true labor the cervix will dilate and efface The nurse is observing sibling adaptation behaviors to the newborn infant during a family visit. To facilitate sibling acceptance, which action by the parents can assist with bonding? Provide the sibling a stuffed animal that they care for while the parents nurture the newborn. Discuss with the sibling the importance of being more independent. Encourage the sibling to spend time primarily with the babysitter. Create new traditions and routines. - ✔✔Provide the sibling a stuffed animal that they care for while the parents nurture the newborn. A nurse is caring for a client who has been prescribed magnesium sulfate as tocolytic therapy. Several hours after the infusion was started, contractions ceased. Which of the following is the best analysis of this data? The drug is having a therapeutic effect The medication dose should be decreased The medication dose should be increased Deep tendon reflexes should be assessed - ✔✔The drug is having a therapeutic effect [Show More]

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