A nurse is caring for a client who is postpartum. The nurse should recognize which of the following statements by the client as a possible indicator of inhibition of parental attachment?

"I don't need the bath demonstration. I know how to do it.".

"Do you think you could keep him in the nursery for the next feeding so I can get some sleep?.".

"I just wish he had more hair. I'm going to have to keep a hat on his head till he grows some.".

"He's got my husband's nose, that's for sure.".

Answer and Explanation

The Correct Answer is C

Choice A reason:

This statement does not indicate inhibition of parental attachment. The client may have prior experience or knowledge of bathing a newborn and may not need the demonstration. The nurse should respect the client's autonomy and confidence in this skill.

Choice B reason:

This statement does not indicate inhibition of parental attachment. The client may be exhausted from the labor and delivery process and may need some rest to recover. The nurse should support the client's request and ensure that the newborn is well cared for in the nursery.

Choice C reason:

This statement indicates inhibition of parental attachment. The client expresses dissatisfaction with the newborn's appearance and implies that the newborn is not attractive enough. The nurse should explore the client's feelings and expectations about the newborn and provide reassurance and education about normal variations in newborn features.

Choice D reason:

This statement does not indicate inhibition of parental attachment. The client recognizes a family resemblance in the newborn and expresses a positive connection with the newborn and the partner. The nurse should acknowledge the client's observation and encourage further bonding with the newborn.

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Correct Answer is A

Explanation

Choice A reason:

Hypoglycemia is a common complication for newborns whose mothers have diabetes mellitus. This is because the newborn's pancreas produces excessive insulin in response to the high glucose levels in the mother's blood during pregnancy. After birth, the newborn's glucose levels drop rapidly, while the insulin levels remain high, resulting in hypoglycemia. The nurse should monitor the newborn's blood glucose levels and signs of hypoglycemia, such as jitteriness, lethargy, poor feeding, and temperature instability.

Choice B reason:

Decreased RBC is not a likely complication for newborns whose mothers have diabetes mellitus. In fact, these newborns may have increased RBC due to chronic fetal hypoxia caused by placental insufficiency. The nurse should monitor the newborn's hematocrit and signs of polycythemia, such as ruddy skin, jaundice, and respiratory distress.

Choice C reason:

Hyperbilirubinemia is not a likely complication for newborns whose mothers have diabetes mellitus. In fact, these newborns may have increased bilirubin levels due to hemolysis of excess RBC and delayed hepatic clearance. The nurse should monitor the newborn's serum bilirubin levels and signs of jaundice, such as yellow skin and sclera, poor feeding, and lethargy.

Choice D reason:

Hypercalcemia is not a likely complication for newborns whose mothers have diabetes mellitus. In fact, these newborns may have hypocalcemia due to decreased parathyroid hormone secretion and increased calcium binding to albumin. The nurse should monitor the newborn's serum calcium levels and signs of hypocalcemia, such as jitteriness, tremors, seizures, and cardiac arrhythmias.

A. Determine maternal well-being B. Determine the readiness of the cervix for labor C. Determine progress of labor D. Determine the well-being of the fetus

Correct Answer is B

Explanation

Choice A reason:

Determining maternal well-being is not the purpose of the Bishop's score. The Bishop's score is a pre-labor scoring system to assist in predicting whether induction of labor will be required. It does not measure maternal vital signs, blood tests, or other indicators of maternal well-being.

Choice B reason:

Determining the readiness of the cervix for labor is the purpose of the Bishop's score. The Bishop's score gives points to five measurements of the pelvic examination: dilation, effacement, station, consistency, and position of the cervix. The higher the score, the more favorable or "ripe”. the cervix is for induction of labor.

Choice C reason:

Determining the progress of labor is not the purpose of the Bishop's score. The Bishop's score is used before labor begins to assess the likelihood of a successful induction or a spontaneous preterm delivery. It does not measure contractions, fetal descent, or other indicators of labor progress.

Choice D reason:

Determining the well-being of the fetus is not the purpose of the Bishop's score. The Bishop's score is a cervical assessment tool that does not directly evaluate fetal status. It does not measure fetal heart rate, movement, or biophysical profile.

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A nurse is caring for a client who is postpartum. The nurse should recognize which of the following statements by the client as a possible indicator of inhibition of parental attachment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a newborn who weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus. For which of the following data should the nurse monitor?

Correct Answer is A

Explanation

The purpose of the Bishop's score is to:

Correct Answer is B

Explanation

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