A nurse is caring for a client who is 24 hr postpartum and is breastfeeding her newborn. The client asks the nurse to warm up seaweed soup that the client's partner brought for her. Which of the following responses should the nurse make?
“The hospital food is more nutritious for you”
“Of course, I will heat that up for you."
"Why are you eating seaweed soup?”
“Does the doctor know that you are eating that?"
The Correct Answer is B
Rationale:
A. “The hospital food is more nutritious for you”: This response dismisses the client’s cultural preferences and assumes hospital food is superior without acknowledging personal or traditional choices, which may negatively affect rapport and trust.
B. “Of course, I will heat that up for you.” This response respects the client’s cultural beliefs and supports individualized postpartum care. Seaweed soup is a traditional food in some cultures believed to aid in postpartum recovery and milk production.
C. “Why are you eating seaweed soup?” Asking this without sensitivity can come off as judgmental or culturally insensitive. The client may feel criticized or misunderstood, even if the nurse is simply curious.
D. “Does the doctor know that you are eating that?” This implies that the food might be unsafe or needs medical approval, which can be perceived as disrespectful or unnecessary unless there’s a clinical reason for concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A,B"}}
Explanation
Rationale:
- Relationship status: BPD is marked by instability in relationships, often due to intense fear of abandonment or difficulty managing emotional attachments. Sudden breakups or conflict with close partners are common, especially during emotional crises.
- Concerns about coworkers: Individuals with PPD often misinterpret benign actions of others as malicious or threatening. Persistent beliefs that others are conspiring against them—despite little or no evidence—are core features of the disorder.
- Client statement: Impulsivity is a diagnostic criterion for BPD. Risky behaviors like sudden, financially irresponsible purchases are driven by difficulty regulating emotion and can reflect an effort to escape negative feelings.
- Skin alterations: Recurrent self-harm (e.g., superficial cutting) is a hallmark of BPD, typically used to cope with overwhelming emotional distress, feelings of emptiness, or perceived rejection or abandonment.
- Behavior pattern: Blunted affect and lack of improvement may reflect emotional withdrawal seen in both BPD and PPD. In BPD, emotional dysregulation underlies these symptoms; in PPD, chronic mistrust can lead to guarded, affectively flat behavior and resistance to help.
Correct Answer is A,B,C,D
Explanation
Rationale:
A. Rolls from back to side: This is typically the first gross motor milestone among the listed options and usually occurs around 4 months of age. It marks early trunk and upper body control development.
B. Rolls from back to abdomen: Rolling from back to abdomen requires more strength and coordination and generally occurs around 5 to 6 months of age, following the ability to roll to the side.
C. Sits steadily unsupported: Infants begin sitting without support around 7 to 8 months, once they develop adequate trunk and head control. This milestone represents a major progression in balance and posture.
D. Changes from prone to sitting: Transitioning from a prone to a sitting position typically develops around 9 to 10 months. It involves coordinated control of the arms, trunk, and legs and reflects advanced gross motor skill development.
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