A nurse is observing bonding between a client and her newborn. Which of the following actions by the client requires the nurse to intervene?

Holding the newborn in an en face position

Asking the father to change the newborn's diaper

Viewing the newborn's actions to be uncooperative

Requesting the nurse take the newborn to the nursery so she can rest

Answer and Explanation

The Correct Answer is C

A. Holding the newborn in an en face position: This action promotes bonding between the mother and the newborn and is a positive interaction.

B. Asking the father to change the newborn's diaper: Involving the father in caregiving tasks fosters family involvement and bonding.

C. Viewing the newborn's actions to be uncooperative: This suggests a negative perception of the newborn's behavior, which could indicate potential issues with bonding or misunderstanding

infant cues, requiring the nurse's intervention.

D. Requesting the nurse take the newborn to the nursery so she can rest: While rest is important for the mother, separating the newborn from the mother could disrupt bonding and breastfeeding, so this action should be discussed further with the client to explore other options.

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Correct Answer is B

Explanation

A. While creating a flexible daily schedule may be helpful, it does not directly address the core symptoms of OCD.

B. Gradually decreasing the time allowed for ritualistic behavior is a common technique used in exposure and response prevention therapy, which is an evidence-based treatment for OCD.

C. Offering solutions for problem-solving may be helpful in general, but it may not directly address the specific symptoms of OCD.

D. While meditation can be beneficial for managing stress and anxiety, it may not specifically address the compulsive thoughts and behaviors characteristic of OCD.

A. Head circumference 1 cm greater than chest B. Positive Babinski reflex on bilateral feet C. Passage of meconium stool D. Pinna below the outer canthus of the eye

Correct Answer is D

Explanation

A. A head circumference 1 cm greater than the chest is within normal variations and does not typically require immediate notification.

B. A positive Babinski reflex is a normal finding in newborns and does not warrant immediate notification.

C. Passage of meconium stool within the first 24 hours of life is considered normal and does not require notification.

D. The pinna (ear) below the outer canthus of the eye can indicate a condition called low-set ears, which may be associated with genetic syndromes or other abnormalities. This finding warrants notification to the provider for further evaluation.

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A nurse is observing bonding between a client and her newborn. Which of the following actions by the client requires the nurse to intervene?

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Correct Answer is D

Explanation

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