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.

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A rationale:
A brilliant, uniform red reflex observed during a funduscopic examination is a normal finding. It indicates the absence of any abnormalities in the retina or lens. A normal red reflex is essential in ruling out serious conditions such as retinoblastoma, cataracts, or other eye abnormalities.
Choice B rationale:
An abnormal red reflex, especially if it is not uniform and brilliant, could indicate underlying eye conditions and would require referral to an ophthalmologist for further evaluation. However, in this scenario, the description provided indicates a normal finding, making this choice incorrect.
Choice C rationale:
A uniform red reflex does not suggest a possible visual defect that requires vision screening. A normal red reflex indicates the absence of significant visual abnormalities, making this choice incorrect.
Choice D rationale:
Small hemorrhages in the eye would not present as a brilliant, uniform red reflex. Hemorrhages typically appear as dark spots or patches and would be an abnormal finding requiring further evaluation. This choice is incorrect in the context of the described scenario.

A. apply an oil-based lotion to the newborn's skin to prevent drying and cracking. B. limit the newborn's intake of milk to prevent nausea, vomiting, and diarrhea. C. place eye shields over the newborn's closed eyes. D. change the newborn's position every 4 hours.

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is:

Correct Answer is A

Explanation

A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:.

Correct Answer is C

Explanation

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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?