A new mom delivered her baby 2 months ago. The baby's father calls into the office to report that his wife is angry.
She is confused and having conversations with herself.
What is the appropriate response that the nurse should make?
Please take your wife to the nearest emergency room for evaluation.
Please bring your wife to the office for medication.
Your wife needs outpatient care.
Your wife needs behavioral therapy.
The Correct Answer is A
Choice A rationale:
The symptoms described by the baby's father, including confusion and having conversations with herself, are concerning and could indicate a severe mental health issue or a neurological problem. Urgent evaluation in an emergency room is necessary to rule out any acute medical or psychiatric condition that could be causing these symptoms. This is crucial for ensuring the safety and well-being of both the mother and the newborn.
Choice B rationale:
Bringing the wife to the office for medication is not appropriate in this situation without a proper evaluation. The symptoms described are severe and require immediate attention in an emergency room setting, where comprehensive assessments can be conducted.
Choice C rationale:
Outpatient care is not suitable for the described symptoms. The mother's confusion and hallucinations suggest a severe condition that requires urgent evaluation in a controlled environment like an emergency room. Outpatient care might be considered after the initial assessment and stabilization, but the immediate concern is the acute nature of the symptoms.
Choice D rationale:
Behavioral therapy is not appropriate for the described
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Applying oil-based lotion is not recommended during phototherapy as it can block the pores and reduce the effectiveness of the therapy. The baby's skin should be exposed to the light as much as possible to treat hyperbilirubinemia effectively.
Choice B rationale:
Limiting the newborn's intake of milk is not appropriate. Adequate hydration and nutrition are essential for infants, especially those undergoing phototherapy. Dehydration can worsen jaundice, so the baby should be encouraged to feed frequently.
Choice C rationale:
Placing eye shields over the newborn's closed eyes is essential during phototherapy. Exposure to high-intensity light can damage the baby's eyes, so protecting the eyes with shields is necessary.
Choice D rationale:
Changing the newborn's position every 2-3 hours is recommended during phototherapy. This helps ensure that all parts of the baby's skin receive equal exposure to the light, maximizing the effectiveness of the treatment.
Correct Answer is B
Explanation
Choice A rationale:
Preventing the spread of illness to others is not the primary focus when teaching a mother about ulcerative colitis. Ulcerative colitis is a chronic inflammatory bowel disease and is not contagious. The primary focus of education should be related to managing the child's symptoms and improving their quality of life.
Choice B rationale:
Nutritional guidance and preventing constipation are essential aspects of managing ulcerative colitis. Proper nutrition helps support the child's overall health and well-being. Additionally, preventing constipation is crucial in managing symptoms and reducing discomfort for children with ulcerative colitis.
Choice C rationale:
Teaching daily use of enemas may be relevant in specific cases or during acute flare-ups, but it is not a general teaching point for all children with ulcerative colitis. Enema usage should be based on the healthcare provider's recommendation and tailored to the individual child's needs.
Choice D rationale:
Coping with stress and avoiding triggers is important in managing ulcerative colitis. Stress and certain triggers can exacerbate symptoms and lead to flare-ups. Teaching coping mechanisms and identifying triggers can help the child and their family manage the condition effectively.
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