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:
Advising the caller to take his wife to the nearest emergency room for evaluation is the appropriate response. The new mom's symptoms, including confusion and auditory hallucinations (conversations with herself), are indicative of a serious mental health condition. These symptoms could be caused by postpartum psychosis, a rare but severe form of postpartum depression. Postpartum psychosis requires immediate medical attention and hospitalization for the safety of both the mother and the baby. It is essential to rule out any potential medical causes and provide appropriate psychiatric evaluation and treatment in an emergency setting.
Choice B rationale:
Bringing the wife to the office for medication is not appropriate in this situation. The symptoms described by the baby's father are severe and require urgent evaluation in an emergency room. Medication management should only be initiated after a comprehensive psychiatric evaluation, which can be conducted in an emergency room setting.
Choice C rationale:
Suggesting outpatient care is not appropriate in this case. The severity of the symptoms, including confusion and hallucinations, indicates the need for immediate evaluation in an emergency setting. Outpatient care is not sufficient for addressing acute psychiatric emergencies.
Choice D rationale:
Recommending behavioral therapy is not appropriate for a situation involving acute confusion and hallucinations. Behavioral therapy is a valuable treatment for various mental health conditions, but it is not the appropriate intervention for acute symptoms like those described in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
C. Hepatitis B, and E. HIV/AIDS.
Choice A rationale:
Diabetes. Diabetes is not an infectious disease but a metabolic disorder characterized by high blood sugar levels. It does not pose a risk of maternal complications due to infection and is not a risk factor for infectious diseases during the preconception phase.
Choice B rationale:
Rubella. Rubella is a viral infection that can cause serious complications during pregnancy, including congenital rubella syndrome, which can lead to developmental abnormalities in the fetus. It is crucial for women to be immune to rubella before conception to prevent these complications.
Choice C rationale:
Hepatitis B. Hepatitis B is a viral infection that can lead to liver inflammation and potentially serious complications. Pregnant women with hepatitis B can transmit the virus to their newborns during childbirth. Proper screening, vaccination, and medical management are necessary to prevent transmission and maternal complications.
Choice D rationale:
Anemia. Anemia is a condition characterized by a deficiency of red blood cells or hemoglobin in the blood. While anemia can have various causes, it is not an infectious disease and does not directly increase the risk of maternal complications due to infection during the preconception phase.
Choice E rationale:
HIV/AIDS. HIV/AIDS is a viral infection that weakens the immune system, making individuals more susceptible to
Correct Answer is C
Explanation
Choice A rationale:
Magnesium sulfate is not given to improve patellar reflexes and increase respiratory efficiency (Choice A). It is primarily used to prevent and treat seizures (convulsions) in patients with preeclampsia and eclampsia.
Choice B rationale:
Magnesium sulfate does not shorten the duration of labor (Choice B). Its use is not related to the progression of labor but rather to prevent and control seizures in the context of preeclampsia and eclampsia.
Choice C rationale:
Preventing and treating convulsions (Choice C) is the main indication for administering magnesium sulfate in cases of severe preeclampsia and eclampsia. Magnesium sulfate acts as a central nervous system depressant, reducing the risk of seizures in these patients.
Choice D rationale:
Preventing a boggy uterus and lessening lochial flow (Choice D) are unrelated to the use of magnesium sulfate. These concerns are typically managed through uterine massage and other postpartum care measures, not magnesium sulfate administration.
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