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.".
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A reason:
Hypertonic is not a type of cerebral palsy, but a term that describes increased muscle tone or stiffness. Hypertonicity can be a symptom of spastic cerebral palsy, which is the most common type of the disorder.
Choice B reason:
Spastic is a type of cerebral palsy that affects about 80% of people with the disorder. People with spastic cerebral palsy have stiff and jerky movements due to increased muscle tone.
Spastic cerebral palsy can be further classified by the body parts affected, such as spastic hemiplegia, spastic diplegia or spastic quadriplegia.
Choice C reason:
Hypotonic is a type of cerebral palsy that affects muscle tone and posture. People with hypotonic cerebral palsy have low muscle tone or floppiness, which makes them appear limp and relaxed. Hypotonic cerebral palsy can affect the whole body or specific parts, such as the trunk, limbs or face.
Choice D reason:
Ataxic is a type of cerebral palsy that affects balance and coordination. People with ataxic cerebral palsy have difficulty with precise movements, such as writing, buttoning a shirt or reaching for a book. They may also walk in an unsteady manner or have problems with depth perception.
Choice E reason:
Mixed is a type of cerebral palsy that includes symptoms of more than one type of the disorder. For example, a person with mixed cerebral palsy may have both spastic and dyskinetic movements, or both ataxic and hypotonic features. Mixed cerebral palsy is usually caused by damage to multiple areas of the brain.
Correct Answer is ["A","B","E"]
Explanation
Choice A:
Tremors. This is a sign of hypoglycemia in a newborn because low blood sugar can cause shakiness or jitteriness in the muscles. •
Choice B:
Lethargy. This is a sign of hypoglycemia in a newborn because low blood sugar can cause low energy, poor feeding, or lack of interest in eating.
Choice C:
Hunger. This is not a sign of hypoglycemia in a newborn because low blood sugar can actually reduce the appetite or cause feeding difficulties.
Choice D:
Jaundice. This is not a sign of hypoglycemia in a newborn because jaundice is caused by high levels of bilirubin in the blood, not low levels of glucose.
Choice E:
Weak cry. This is a sign of hypoglycemia in a newborn because low blood sugar can affect the vocal cords and the respiratory system, causing a weak or high-pitched cry.
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