A mother visits her critically ill infant daily. Which comment most strongly suggests this mother is successfully progressing in attachment to her infant?

"Does my baby have any pain where she had her operation?".

"I like to see my baby empty her formula bottle when I feed her.".

"I wonder if people will notice the scar from my baby's surgery.".

"My baby's nose is just like mine.".

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Inquiring about pain after surgery is a normal concern for a mother, but it doesn't necessarily indicate successful progress in attachment. It shows concern for the baby's well-being, but attachment involves more emotional and bonding aspects.

Choice B rationale:

Expressing joy in seeing the baby empty her formula bottle during feeding demonstrates an emotional connection and maternal satisfaction with providing for the infant's needs. This suggests successful attachment and bonding between the mother and baby.

Choice C rationale:

Concerns about the scar from surgery indicate the mother's focus on the physical appearance of the baby, which is not the primary marker of successful attachment. It reflects a different aspect of the mother's thoughts and emotions.

Choice D rationale:

Noting similarities in physical features doesn't necessarily indicate a deeper attachment. While it's a natural observation, attachment involves more emotional bonding than just physical resemblances.

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Correct Answer is D

Explanation

Choice A rationale:

Ketonuria is the presence of ketones in urine and is not directly associated with vaso-occlusive crisis in sickle cell anemia. This crisis typically involves pain and ischemia in various body parts.

Choice B rationale:

Diplopia refers to double vision and is not a typical symptom of vaso-occlusive crisis. Pain, not vision changes, is the primary concern in this scenario.

Choice C rationale:

Severe abdominal pain can be a symptom of vaso-occlusive crisis in sickle cell anemia, but the patient's complaint of left elbow pain would not directly correlate with this choice.

Choice D rationale:

Hyperactive patellar reflex is the correct answer. During vaso-occlusive crisis, the body's response to pain can lead to increased muscle tone and reflexes, including hyperactive deep tendon reflexes like the patellar reflex. This is an indicator of neurologic involvement in the crisis. Remember that these rationales are intended to provide a concise understanding of the correct answers based on the information provided in the questions. Always refer to medical literature and consult with healthcare professionals for comprehensive and accurate information.

A. "Does the child have a sore throat currently?”. B. "Do the caregivers have soft foods at home for the child?”. C. "When was the last time the child ate or drank anything?”. D. "Does the child have any questions about the procedure?".

Correct Answer is C

Explanation

Choice A rationale:

"Does the child have a sore throat currently?”. This choice is important but not the most critical question. The surgery involves tonsillectomy and adenoidectomy, so the child's current sore throat might not be as pertinent as other factors.

Choice B rationale:

"Do the caregivers have soft foods at home for the child?”. This choice is important for post-operative care, but the most crucial consideration is the child's fasting status before surgery.

Choice C rationale:

"When was the last time the child ate or drank anything?”. This choice is correct. It is essential to determine the child's fasting status before surgery to prevent potential complications related to anesthesia and surgery.

Choice D rationale:

"Does the child have any questions about the procedure?”. While ensuring the child's understanding is important, it is not the most critical question regarding preparation for the surgery.

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A mother visits her critically ill infant daily. Which comment most strongly suggests this mother is successfully progressing in attachment to her infant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An 11-year-old patient with sickle cell anemia is admitted to the hospital with vaso-occlusive crisis. He is experiencing pain in his left elbow. The nurse needs to monitor the patient for which symptom?

Correct Answer is D

Explanation

A 5-year-old client is admitted for a tonsillectomy with adenoidectomy. What is the most important question for a nurse to ask while preparing the client for surgery?

Correct Answer is C

Explanation

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