anti bagsak reviewer ca ni baby girl iloveyousomuch 10000000000x

To encourage autonomy in a 4 year-old, the nurse should instruct the mother to: 1) Discourage the child's choice of clothing. 2) Button the child's coat and blouse. 3) Praise the child's attempts to dress herself. 4) Tell the child when the combination of clothes is not appropriate.

3

When assessing a 2-year-old child brought by his mother to the clinic for a routine checkup, which of the following should the nurse expect the child to be able to do? 1) Ride a tricycle. 2) Tie his shoelaces. 3) Kick a ball forward. 4) Use blunt scissors.

3

73. It has been 12 hours since the client's delivery of a newborn. The nurse assesses the client for the process of involution and documents that it is progressing normally when palpation of the client's fundus is noted: 1 At the level of the umbilicus 2 One finger breadth below the umbilicus 3 Two finger breadths below the umbilicus 4 Midway between the umbilicus and the symphysis pubis

1

Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, the nurse detects dry mucous membranes and lethargy. What other finding suggests a fluid volume deficit? 1. A sunken fontanel 2. Decreased pulse rate 3. Increased blood pressure 4. Low urine specific gravity

1

The parent of a 9-month-old infant is concerned that the infant's front soft spot is still open. The nurse should tell the parent: 1. "I will measure your baby's head to see if it is a normal size." 2. "Your infant will need to be referred for more testing." 3. "You should contact your health care provider immediately." 4. "This is normal because this soft spot usually closes between 12 and 18 months."

4

66. hen giving a postpartum client self-care instructions, a nurse instructs her to report heavy or excessive bleeding. Which statement by the client indicates that she understands the nurse's instructionsIR?

"I will call the doctor if I saturate a pad in 1 hour or less."

34. A nurse compares a child's height and weight with standard growth charts and finds the child to be in the 50th percentile for height and in the 45th percentile for weight. The nurse interprets these findings as indicating that the child is: 1) Average height and weight. 2) Overweight for height. 3) Underweight for height. 4) Abnormal in height.

1

40. A parent calls the pediatric clinic to express concern over her child's eating habits. She says the child eats very little and consumes only a single type of food for weeks on end. The nurse knows that this behavior is characteristic of: 1. toddlers. 2. preschool-age children. 3. school-age children. 4. adolescents.

1

41. A parent asks the nurse about head lice (pediculosis capitis) infestation during a visit to the clinic. Which of the following symptoms should the nurse tell the parent is most common in a child infected with head lice? 1) Itching of the scalp. 2) Scaling of the scalp. 3) Serous weeping on the scalp surface. 4) Pinpoint hemorrhagic spots on the scalp surface.

1

35. The mother tells the nurse that her 8-year-old child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse should explain this behavior is a sign of what? 1) Inadequate parental attention. 2) Mastery of language ambiguities. 3) Inappropriate peer influence. 4) Excessive television watching.

2

When assessing for pain in a toddler, which of the following methods should be the most appropriate? 1) Ask the child about the pain. 2) Observe the child for restlessness. 3) Use a numeric pain scale. 4) Assess for changes in vital signs.

2

15. A 2%-year-old child is brought to the clinic by his father, who explains that the child is afraid of the dark and always says "no" when asked to do something. The nurse would explain that the negativism demonstrated by toddlers is frequently an expression of A. A quest for autonomy. B. Hyperactivity. C. Separation anxiety. D. Sibling rivalry.

A

17. A father reports that his 2-year-old child often falls when running. The nurse would explain that this may be linked to the fact that a toddler's vision is A. Myopic. -nearsightedness B. Hyperopic. C. Presbyopic. D. Amblyopic.

A

20. The mother asks the nurse for advice about disciple. The course wood sent that the mother first use A. Structured interactions. B. Spanking C. Reasoning. D. Scolding.

A

21. When a nurse assesses for pain in toddler, which of the following techniques would be least effective? A. Ask them about the pain. 8. Observe them for restlessness. C. Watch their faces for grimaces. D. Listen for pain cues in their cries

A

The nurse should expect a 3-year-old child to be able to perform which of the following actions? A. Ride a tricycle B. Tie shoelaces C. Roller Skate D. Jump rope

A

12. A 2-year-old child is brought to the clinic by her mother because she constantly pulls at her ears. The toddler is uncooperative when the nurse tries to look in her ears. Which of the following actions would be best for the nurse to try first? A. Ask another nurse to assist. B. Allow the parent to assist. C. Wait until the child calms down. D. Restrain the child's arms.

B

16. The nurse would explain to the father which concept of Piaget's cognitive development is the basis for the child's fear of darkness. A. Reversibility. B. Animism. C. Conservation of matter. D. Object permanence.

B

22 The mother of a 15-month-old toddler asks the nurse how much milk her child should receive daily. The how much month old toddler and receive daily. The nurse's best response would be A. No more than 1 cup. B. 2 to 3 cups C. 5 to 6 cups D. 7 to 8 cups.

B

23. The mother reports that her child creates quite a scene every night at bedtime and asks what she can do to make bedtime a little more pleasant. The nurse should suggest that the mother A. Allow the child to stay up later one or two nights a week. B. Establish a set bedtime and follow a routine. C. Let the child play tag just before bedtime. D. Give the child a cookie if bedtime is pleasant.

B

27. The mother tells the nurse that her other child, a 4-year-old boy, has developed some "strange eating habits, including not finishing meals and eating the same food for several days in a row. She would like to develop a plan to correct this situation. In developing such a plan, the nurse and mother should consider A. Deciding on a good reward for finishing the meal. B. Allowing him to make some decisions about the foods he eats. C. Requiring him to eat the foods served at meal times. D. Not allowing him to play with friends until he eats all the food he's served.

B

28. After having a blood sample drawn, a child insists that the site be covered with a Band-Aid. When the mother tries to remove the Band-Aid before leaving the office, the child screams that all the blood will come out. This behavior indicates A. A normal fear of injury. B. A normal fear of compromised body integrity. C. An abnormal fear of compromised body integrity. D. An abnormal fear of loss of control.

B

33. The school nurse develops a plan with an adolescent to provide relief of dysmenorrhea to aid in her development of which of the following? A) Positive peer relations. B) Positive self-identity. C) A sense of autonomy. D) A sense of independence.

B

An adolescent client has just had surgery and has a dressing on the abdomen. Which of the following questions would the nurse expect the client to ask? A. "Did the surgery go OK?" B. "Will I have a large scar?" C. "What complications can I expect?" D. "When can I return to school?"

B

Before a routine checkup in the pediatrician's office, an 8-month-old infant is sitting contentedly on his mother's lap, chewing on a toy. When preparing to examine this infant, which of the following actions should the nurse do first? A. Measure the head circumference. B. Auscultate heart and lung sounds. C. Elicit pupillary reaction. D. Obtain body weight

B

For an 8-month-old infant, the nurse should plan to provide which of the following toys to promote the child's cognitive development? A. Finger paints B. Jack-in-the-box C. Small rubber ball D. Play gym strung across the crib

B

The nurse explains the infant's risk of choking when sucking on a propped bottle of formula or fruit juice A. Obesity. B. Dental caries. C. Prolonged attachment to the bottle. D. Prolonged use of nighttime feedings.

B

65. Which client action should alert a nurse to a potential problem in a client with mastitis?

Breast-feeding every 6 hours

18. A mother brings her 2-year-old child to the clinic because she is concerned about the child's nutritional status. She tells the nurse that for the last week, the child has refused to eat anything except animal crackers and peanut butter and jelly sandwiches. Which of the following measures would be most appropriate for the nurse to suggest? A. Give the child extra time to play outside if she eats what the family eats at mealtime. B. Consult a physician, because the child's behavior will lead to nutritional deficiency. C. Don't be overly concerned about the child's behavior, because food fads usually last only a short time. D. Insist that the child eat small portions of the family's meal to maintain adequate nutrition.

C

19. The nurse assesses the chairs best during the physical examination and teaches the mother to A. Brush the child's teeth after every meal and at bedtime. B. Brush the child's teeth with a small soft bristle toothbrush C. Floss the child's teeth using unwaxed dental floss D. Add a fluoride supplement to the child's milk three

C

25. The mother says that she will be glad to let her child brush her teeth without help, but at what age should this begin? The nurse should respond, "At A. 3 years." B. 5 years." C. 7 years." D. 9 years."

C

26. The mother tells the nurse that her child "doesn't seem to know the difference between right and wrong. In assessing this child, the nurse would explain to the mother that this is typical of which level of moral development as described by Kohlberg? A. Autonomous. B. Conventional. C. Preconventional, D. Principles.

C

13. Ear drops, instilled twice a day, are prescribed for a toddler. When teaching the mother to instill the drops, the nurse should tell her to pull the toddler's ear lobe A. Up and forward. B. Up and backward. C. Down and forward. D. Down and backward.

D

14. Before the mother leaves, she tells the nurse that she is having problems toilet-training her 2- year-old child. The nurse would toll the mother that the A. Rewards are too limited. B. Training equipment is inappropriate. C. Parents ignore "accidents" that occur during training. D. The child is not developmentally ready to be trained.

D

An infant's mother says, "The soft spot near the front of his head is still big. When will it close?" The nurse's correct response would be at A 2 to 4 months B. 5 to 8 months. C. 9 to 12 months D. 13 to 18 months.

D

Which comment by a 7-year-old boy to his friend best typifies his developmental stage? A. Girls are so yucky B. "My mommy and I are always together." C. "I can't decide if I like Amy ny or Heather better." D. I can turn into Batman when I come out of my closet"

D

64. The nurse is assessing a postpartum client who has lochia serosa (old blood, serum, leukocytes, and tissue debris). When the client asks the nurse how long to expect this type of bleeding, what should the nurse's response be? ANS:

Days 3 to 10 postpartum

83. The nurse just taught a client about the signs of true and false labor. Which client statement indicated an accurate understanding of this information? ANS:

False labor contractions usually occur in the abdomen

59. Which assessment should be performed routinely in the postpartum client? ANS:

Homan's Sign

78. Which reason explains why a client might express disappointment after having a cesarean delivery instead of a vaginal delivery?

The client may feel a loss for not having experienced a "normal" birth

76. Which reason explains why Kegel exercises are advantageous to women after they deliver a child?

They promote blood flow, allowing for healing and strengthening the musculature.

62. Which finding is normal for a postpartum client who has experienced a vaginal birth? ANS:

Vaginal dryness after the lochial flow has ended

79. Which finding is normal for a postpartum client who has experienced a vaginal birth? ANSWER:

Vaginal dryness after the lochial flow has ended

62. When giving a postpartum client self-care instructions in preparation for discharge, the nurse instructs her to report heavy or excessive bleeding. How should the nurse describe "heavy bleeding?" a) Saturating 1 pad in 6 hours b) Saturating 1 pad in 1 hour c) Saturating 1 pad in 8 hours d) Saturating 1 pad in 3 hours

b

38. One hour after delivery where do you expect to find the fundus of the uterus? A. 4 cm below the xiphoid process B. right above the symphysis pubis C. At the umbilicus D. 2 cm below the umbilicus

c

49. A woman gave birth to an infant boy 10 hours ago. Where does the nurse expect to locate this womans fundus? a. 1 centimeter above the umbilicus b. 2 centimeters below the umbilicus c. Midway between the umbilicus and the symphysis pubis d. Non palpable abdominally

a

55. A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman vital signs, which finding would be of greatest concern to the nurse? a. Temperature 37.9 C, heart rate 120 beats per minute (bpm), respirations 20 breaths per minute, and blood pressure 90/50 mm Hg b. Temperature 37.4 C, heart rate 88 bpm, respirations 36 breaths per minute, and blood pressure 126/68 mm Hg c. Temperature 38 C, heart rate 80 bpm, respirations 16 breaths per minute, and blood pressure 110/80 mm Hg d. Temperature 36.8 C, heart rate 60 bpm, respirations 18 breaths per minute, and blood pressure 140/90 mm Hg

a

45. A mother calls the clinic to talk to the nurse. The mother states that a physician described her daughter as having 20/60 vision and asks the nurse what this means. The nurse responds based on the interpretation that the child is experiencing which of the following? A. A loss of approximately 1/3 of her visual acuity. B. Ability to see at 60 feet what she should see at 20 feet. C. Ability to see at 20 feet what she should see at 60 feet. D. Visual acuity three times better than average.

c

36. The mother asks the nurse about her 9-year-old child's apparent need for between-meal snacks, especially after school. When developing a sound nutritional plan for the child with the mother, which of the following should the nurse need to keep in mind? 1) The child does not need to eat between-meal snacks. 2) The child should eat the snacks the mother thinks are appropriate. 3) The child should help with preparing his or her own snacks. 4) The child will instinctively select nutritional snacks.

3

37. When developing the teaching plan about illness for the mother of a preschooler, which of the following should the nurse include about how a preschooler perceives illness? 1) A necessary part of life. 2) A test of self-worth. 3) A punishment for wrong-doing. 4) The will of God.

3

42. Several high-school seniors are referred to the school nurse because of suspected alcohol misuse. When the nurse assesses the situation, what would be most important to determine? 1) What they know about the legal implications of drinking. 2) The type of alcohol they usually drink. 3) The reasons they choose to use alcohol. 4) When and with whom they use alcohol.

3

44. A parents asks, "Can I get head lice too?" The nurse indicates that adults can also be infested with head lice but that pediculosis is more common among school children, primarily for which of the following reasons? 1) An immunity to pediculosis usually is established by adulthood. 2) School-age children tend to be more neglectful of frequent handwashing. 3) Pediculosis usually is spread by close contact with infested children. 4) The skin of adults is more capable of resisting the invasion of lice.

3

72. An adolescent tells the school nurse that she would like to use tampons during her period. Which of the following would be most appropriate for the nurse to do? 1) Assess her usual menstrual flow pattern. 2) Determine whether she is sexually active. 3) Provide information about preventing toxic shock syndrome. 4) Refer her to a specialist in adolescent gynecology.

3

When discussing the onset of adolescence with parents, the nurse explains that it occurs at which of the following times? 1) Same age for both boys and girls. 2) 1 to 2 years earlier in boys than in girls. 3) 1 to 2 years earlier in girls than in boys. 4) 3 to 4 years later in boys than in girls.

3

71. The parents of teenagers express concerns about the types and large quantities of food their children eat and their refusal to eat foods served at family meals. Which of the following suggestions would be most helpful for the parents? 1. Carefully evaluate the adolescents' nutritional intake. 2. Inform the adolescents about the adverse effects of fad diets. 3. Give the adolescents responsibility for grocery shopping for 1 month. 4. Incorporate the adolescents' preferences into meal planning.

4

A nurse is assessing the growth and development of a 10-year old. What is the expected behavior of this child? 1) Enjoys physical demonstrations of affection. 2) Is selfish and insensitive to the welfare of others. 3) Is uncooperative in play and school. 4) Has a strong sense of justice and fair play.

4

The mother asks the nurse for advice " about discipline for her 18-month-old. Which of the following should the nurse suggest that the mother use first? 1) Structured interactions. 2) Spanking. 3) Reasoning. 4) Time-out.

4

The school nurse is invited to attend a meeting with several parents who express frustration with the amount of time their adolescents spend in front of the mirror and the length of time it takes them to get dressed. The nurse explains that this behavior indicates: 1) An abnormal narcissism. 2) A method of procrastination. 3) A way of testing the parents' limit-setting. 4) A result of developing self-concept

4

29 . Which nursing intervention would best help prepare a preschool-aged child for an injection? A. Have an older child explain that shots do not hurt. B. Suggest diversionary activities such as singing. C. Give the child a play syringe and a Band-Aid so the child can give a doll injections. D. Give the child a pounding board to encourage expressions of anger.

C

30. A mother at the meeting says her 5-year-old seems prone to minor accidents like skinning his elbows and knees and falling off his scooter. The nurse would base further assessment of this child on the knowledge that childhood accidents are more likely to occur when the family A. Consists of only one child. B. Has limited formal education. C. Is experiencing changes. D. Has a high economic status.

C

31. The nurse knows that one of the most effective strategies that parents can use to teach 4-year- olds about safety is to A. Show them potential dangers to avoid. B. Tell them they are bad when they do something C. Provide good examples of safe behavior. D. Show them pictures of children who have been involved in accidents.

C

80. A woman gave birth vaginally to a 9-lb, 12-ounce girl yesterday. Her primary health care provider has written orders for perineal ice packs, use of a sitz bath tid, and a stool softener. What information is most closely correlated with these orders? Select one: a. The woman had a vacuum-assisted birth. b. The woman is a gravida 2, para 2. c. The woman has an episiotomy. d. The woman received epidural anesthesia.

C

A client tells the nurse that her 22-month-old child says he to everything. When sosed, the toddler becomes angry and starts crying loudly but then immediately wants to be held. What is the best interpretation of this behavior? A. The toddler isn't effectively coping with the stress. B. The toddler's need for affection isn't being met C. This is normal behavior for a 2-year-old child D. This behavior suggests the need for counseling

C

A mother states that she thinks her 9-month-old 'is developing slowly." When evaluating the infant's development, the nurse would not expect a normal 9-month-old to be able to A. Sit without support. B. Begin to use imitative verbal expressions. C. Put an arm through a sleeve while being dressed. D. Hold a bottle with good hand-mouth coordination.

C

The mother of a 12-month-old infant expresses concem about the effect of frequent Bund sucking on her child's teeth. After the nurse teaches her about this matter, which response by the client indicates that the teaching has been effective? A. Thumb sucking should be discouraged at 12 months." B. "I give the baby a pacifier instead C. "Sucking is important to the baby." D. "I wrap the thumb in a bandage."

C

The mother of a 9-month-old says it is difficult to add new foods to his diet. "He spits everything out, she says. The nurse should teach the mother to A. Mix new foods with formula. B. Mix new foods with more familiar foods. C. Offer new foods one at a time. D. Offer new foods after formula has been offered.

C

24. The mother asks about dental care for her child. S says that she helps brush the child's teeth daily. Which of the following responses by the nurse would be most appropriate? A. "Since you help brush her teeth, there's no need to see a dentist now." B. "You should have begun dental appointments last year, but it's not too late." C. "Your child doesn't need to see the dentist until she starts school." D. "A dental checkup is a good idea, even if no noticeable problems are present."

D

32. A parent seems concerned about the fact that the infant's soft spot is still open. Which of the following should the nurse include when explaining about the usual age for closure of the soft spot near the front of the infant's head. A) 2-4 months B) 5-8 months C) 9-11 months D) 12-18 months

D

70. When monitoring a postpartum client 2 hours after birth, the nurse notices heavy bleeding with large clots. Which response is most appropriate initially? ANS:

Massage fundus firmly

57. On completing a fundal assessment, the nurse notes the fundus is situated on the client's left abdomen. Which action is appropriate? A. Ask the client to empty her bladder B. Straight catheterize the client immediately C. Call the clients health provider for direction D. Straight catheterize the client for half of her uterine volume.

a

58. The school nurse overhears a conversation between two 7-year- old boys. Which comment by a 7-year-old boy to his friend best typifies his developmental stage? A. "Girls are so yucky." B. "My mommy and I are always together." C. "I can't decide if I like Amy or Heather better." D. "I can turn into Batman when I come out of my closet."

a

59. Which of the following factors might result in a decreased supply of breastmilk in a PP mother? A. Supplemental feedings with formula B. Maternal diet high in vitamin C C. An alcoholic drink D. Frequent feedings

a

64. A nurse is caring for a non-breastfeeding client in postpartum period. The client complains of engorgement. What suggestion should the nurse provide to alleviate breast discomfort? A. Wear a well-fitting bra B. Apply hydrogel dressing C. Apply warm compress D. Express milk frequently

a

69. Early after birth hemorrhage is defined as a blood loss greater than: a. 500 mL in the first 24 hours after vaginal delivery. b. 750 mL in the first 24 hours after vaginal delivery. c. 1000 mL in the first 48 hours after cesarean delivery. d. 1500 mL in the first 48 hours after cesarean delivery.

a

74. The school nurse is planning a series of safety and accident prevention classes for a group of third grades. What preventive measures should the nurse stress during the first class, knowing the leading cause of incidental injury and death in this age? A Auto seat belts B Flame-retardant clothing C Life preserves D Protective eyewear

a

75. When preparing a teaching plan for the parents of a group of 4- to 6-year-old children about recommended immunizations for school entrance, the nurse would expect to include which of the following? A. Diphtheria, tetanus, pertussis and polio B. Measles, mumps, rubella, and polio C. Polio, measles, and pertussis D. Tetanus, diphtheria, and rubella

a

Which of the following findings would be expected when assessing the postpartum client? A. Fundus 1 cm above the umbilicus 1 hour postpartum B. Fundus 1 cm above the umbilicus on postpartum day 3 C. Fundus palpable in the abdomen at 2 weeks postpartum D. Fundus slightly to the right; 2 cm above umbilicus on postpartum day 2

a

100. The nurse observes that a 15-year-old mother seems to ignore her newborn. A strategy nurse can use to facilitate mother-infant attachment in this mother us to: A. Tell the mother that she must pay attention to her baby. B. Show the mother how the baby initiates interaction and attends to her. C. Demonstrate for the mother different positions for holding her baby. D. Have the mother etch a video on parent infant interaction.

b

39. Compared to the food requirements of preschoolers and adolescents, the food requirements of school-age children are not as great because these children have a lower: a) hormonal secretion rate b) growth rate c) level of activity d) metabolic rate

b

43. Your patient is 48 hours post-delivery. While assessing fundal height, you would expect the fundal height to be? A. 1 cm above the umbilicus B. 2 cm above the umbilicus C. 1 cm below the umbilicus D. 2 cm below the umbilicus

b

48. Parental encouragement to eat nutritious foods. Parents report that they think their 15-year-old son is moody and rude. The nurse develops a plan with the parents that includes which of the following initially? A. Limiting involvement in non-school activities. B. Discussing their feelings with him. C. Obtaining family counseling. D. Talking with other parents of adolescents.

b

51. Which client is most likely to experience strong and uncomfortable afterpains? a. A woman who experienced oligohydramnios b. A woman who is a gravida 4, para 4-0-0-4 c. A woman who is bottle-feeding her infant d. A woman whose infant weighed 5 pounds, 3 ounces

b

46. A mother tells the nurse that one of her children has chickenpox and asks what she should do to care for that child. When teaching the mother, which of the following would be most important to prevent? A. Acid- base imbalance B. Malnutrition C. Skin infection D. Respiratory infection

c

53. Which hormone remains elevated in the immediate postpartum period of the breastfeeding woman? a. Estrogen b. Progesterone c. Prolactin d. Human placental lactogen

c

54. Two days ago a woman gave birth to a full-term infant. Last night she awakened several times to urinate and noted that her gown and bedding were wet from profuse diaphoresis. Which physiologic alteration is the cause for the diaphoresis and diuresis that this client is experiencing? a. Elevated temperature caused by postpartum infection b. Increased basal metabolic rate after giving birth c. Loss of increased blood volume associated with pregnancy d. Increased venous pressure in the lower extremities

c

61. When completing the morning postpartum assessment, a nurse notices a client's perineal pad is completely saturated with lochia rubra. Which action should be the nurse's first response? A. Call the HCP immediately B. Have the charge nurse review the assessment C. Ask the client when she last changed her perineal pad. D. Vigorously massage the fundus

c

68. A client is complaining of painful contractions, or afterpains, on postpartum day 2. Which of the following conditions could increase the severity of afterpains? A. Bottle-feeding B. Diabetes C. Multiple gestation D. Primiparity

c

Which of the following complications may be indicated by continuous seepage of blood from the vagina of a PP client, when palpation of the uterus reveals a firm uterus 1 cm below the umbilicus? A. Retained placental fragments B. Urinary tract infection C Cervical laceration D. Uterine atony

c

Which of the following interventions would be helpful to a breastfeeding mother who is experiencing engorged breasts? a. Applying ice b. Applying a breast binder c. Teaching how to express her breasts in a warm shower d. Administering bromocriptine (Parlodel)

c

50. What are the most common causes for sub involution of the uterus? a. Postpartum hemorrhage and infection b. Multiple gestation and postpartum hemorrhage c. Uterine tetany and overproduction of oxytocin d. Retained placental fragments and infection

d

52. A woman gave birth to a healthy infant boy 5 days ago. What type of lochia does the nurse expect to find when evaluating this client? a. Lochia rubra b. Lochia sangra c. Lochia alba d. Lochia serosa

d

56. A client is concerned that her breasts are engorged and uncomfortable. What is the nurses explanation for this physiologic change? a. Overproduction of colostrum b. Accumulation of milk in the lactiferous ducts and glands c. Hyperplasia of mammary tissue d. Congestion of veins and lymphatic vessels

d

60. Which practice should a nurse recommend to a client who has had a cesarean birth? A. Side-rolling exercises B. Frequent douching after she's discharged C. Doing sit-ups 2 weeks after birth D. Coughing and deep-breathing exercises

d

63. A mother who gave birth to her second daughter is so concerned about her 2-year old daughter. She tells the nurse, "I'm afraid that my 2- year old daughter may not accept her newly born sister", it is appropriate to the nurse to response that: A. The older daughter be given responsibility, "you're a big girl now, and you need to take care of your baby sister" B. The older daughter should not have interaction with the baby, because she may harm her new sibling. C. The older daughter stay with her grandmother for few weeks until the parents and the new baby are settled at home. D. The mother spend time with her older daughter when the baby is sleeping.

d

97. After giving birth to a healthy infant boy, a primiparous woman, 16, is admitted to the postpartum unit. An appropriate nursing diagnosis for her at this time is risk for impaired parenting related to deficient knowledge of newborn care. In planning for the woman's discharge, what should the nurse be certain to include in the plan of care? a. Tell the woman how to feed and bathe her infant. b. Give the woman written information on bathing her infant. c. Advise the woman that all mothers instinctively know how to care for their infants. d. Provide time for the woman to bathe her infant after she views an infant bath demonstration.

d

98. A 30-year-old multiparous woman has a boy who is 2 1/2 years old and now an infant girl. She tells the nurse, "I don't know how I'll ever manage both children when I get home." Which suggestion would best help this woman alleviate sibling rivalry? A. Tell the older child that he is a big boy now and should love his new sister B. Let the older child stay with his grandparents for the first 6 weeks to allow him to adjust to the newborn C. Ask friends and relatives not to bring gifts to the older sibling because you do not want to spoil him D. Realize that the regression in habits and behaviors in the older child is a typical reaction and that he needs extra love and attention at this time

d

99. The nurse observes several interactions between a postpartum woman and her new son Which of the following behaviors, if exhibited by this woman, would the nurse identity as maladaptive regarding parent-infant attachment? A. Talks a coo to her son B. Tells the visitor how ell her son is feeding C. Cuddles the son close to her D. Seldom makes eye contact with her son

d