A nurse in a postpartum clinic is caring for a client who has returned for their 6-week postpartum visit. The client states emphatically, "I hate when the baby cries, and I can't get them to stop." Which of the following statements should the nurse respond with?
"You should try putting the baby in a carrier so you can take a walk when they start crying.”
"Tell me more about what is going on when the baby starts crying.”
"Many parents have told me it gets better when the baby is about 3 months old.”
"As a new parent, you should be enjoying your time with the baby.”
The Correct Answer is B
A. "You should try putting the baby in a carrier so you can take a walk when they start crying.": This response may not address the client's emotional frustration. It's important to first listen and understand the full context before offering advice.
B. "Tell me more about what is going on when the baby starts crying.": This response shows empathy and invites the client to share more about their experience. It allows the nurse to better understand the situation and provide support or guidance tailored to the client’s concerns.
C. "Many parents have told me it gets better when the baby is about 3 months old.": It's important to explore the client’s current experience and feelings rather than assuming their situation will improve without validating their concerns.
D. "As a new parent, you should be enjoying your time with the baby.": This statement may come across as judgmental as it implies the client should be feeling something different. It is important to acknowledge and validate the client's feelings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Have the client roll onto a transfer board and pull the board onto the stretcher: Rolling the client onto a transfer board can be difficult and potentially dangerous, especially for an immobile client. It is safer to use a slide board with assistance to ensure the transfer.
B. Move the client onto the stretcher using a slide board with the assistance of two health care workers: A slide board, along with the assistance of two health care workers, ensures a safer and more controlled transfer of the immobile client, minimizes the risk of injury to both the client and the healthcare workers.
C. Apply a transfer belt to the client prior to transferring to the stretcher: A transfer belt is used for clients who are able to assist in the transfer, but it is not appropriate for immobile clients. Using a slide board with assistance is safer for transferring a client who is immobile.
D. Move the client's upper body onto the stretcher first: It is important to maintain a proper and safe method by transferring the entire body at once. Moving the upper body first could result in uneven weight distribution and increase the risk of injury during the transfer.
Correct Answer is B
Explanation
A. Warm skin: Warm skin typically indicates good circulation and is not a specific sign of active bleeding. Active bleeding is more likely to cause signs like cool or pale skin due to decreased perfusion.
B. Restlessness: Restlessness is a common sign of hypovolemia or decreased oxygen perfusion, both of which can be caused by active bleeding. It may indicate that the client is experiencing discomfort, anxiety, or shock due to blood loss.
C. Bounding pulses: Bounding pulses are typically associated with conditions like fever or increased blood volume, not bleeding. Active bleeding usually results in weak, thready pulses due to decreased blood volume.
D. Brisk capillary refill: A brisk capillary refill time (less than 2 seconds) is generally a sign of adequate circulation, not bleeding. In the case of active bleeding, capillary refill may be delayed due to reduced blood flow.
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