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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: A respiratory rate of 10 bpm indicates respiratory depression, a sign of magnesium toxicity. Magnesium sulfate is a central nervous system depressant, and rates below 12 bpm require immediate intervention and possible administration of calcium gluconate.
Choice B rationale: A blood pressure of 148/94 is a manifestation of the underlying pregnancy-induced hypertension rather than a complication of the medication. Magnesium sulfate is primarily used for seizure prophylaxis rather than as a primary antihypertensive agent.
Choice C rationale: Deep tendon reflexes of +2 are considered normal and active. A complication of magnesium sulfate therapy would be the loss or diminution of these reflexes (0 or +1), which typically precedes more severe respiratory depression.
Choice D rationale: A urine output of 70 ml/hour is within the normal range and indicates adequate renal perfusion. Monitoring output is crucial because magnesium is excreted by the kidneys, but 70 ml/hour does not indicate a complication.
Correct Answer is B
Explanation
Choice A rationale:
Kimberly and Amanda sharing clay to each make things represents cooperative play, not parallel play. Cooperative play involves interaction and collaboration between children, whereas parallel play involves children playing side by side without interacting.
Choice B rationale:
Brian playing with his truck next to Kristina playing with her truck demonstrates parallel play. In parallel play, children play independently but alongside others, showing interest in what others are doing but without direct interaction.
Choice C rationale:
Adam playing a board game with Kyle, Steven, and Erich represents cooperative play, not parallel play. Cooperative play involves shared activities and collaboration, while parallel play involves independent activities in proximity to others.
Choice D rationale:
Danielle playing with a music box on her mother's lap is an example of solitary play, where a child plays alone without regard to others. Solitary play is common in younger children and is different from parallel play.
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