A nurse is providing care to a mother immediately following a stillbirth delivery.
Which of the following actions should the nurse take first?
Contact the health care facility's clergy.
Assist the client with transferring to the gynecology unit.
Administer alprazolam 0.5 mg PO.
Offer mother private time with the newborn.
The Correct Answer is D
The nurse should first offer the mother's private time with the newborn to allow her to grieve and say goodbye.
This can be an important part of the healing process for the mother.
Choice A is not an answer because contacting clergy is not the first action the nurse should take.
Choice B is not an answer because transferring the client to another unit is not the first action the nurse should take.
Choice C is not an answer because administering medication is not the first action the nurse should take.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This is the recommended technique for chest compressions on an infant, as it provides adequate blood flow without causing injury12.
Choice A.
Deliver compressions just above the nipple line is incorrect, as this is not the correct location for chest compressions on an infant.
The correct location is below the nipple line, at the center of the chest.
Choice B.
Deliver compressions with the heel of one hand is incorrect, as this is the technique for chest compressions on a child, not an infant. For an infant, two fingers are used instead of one hand13.
Choice C.
Deliver compressions at a depth of 5 cm (2 in) is incorrect, as this is too deep for an infant’s chest.
The correct depth for an infant is about 4 cm (1.5 in) or 1/3 the depth of the
chest12.
Therefore, choice D is the best answer.
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
Yellow nasal discharge is typically associated with respiratory infections or allergies and is not a symptom of nephrotic syndrome.
Choice B rationale:
Poor appetite can be a nonspecific symptom and may be seen in various conditions, including nephrotic syndrome. However, it is not a primary indicator.
Choice C rationale:
Facial edema is a hallmark sign of nephrotic syndrome. This condition is characterized by significant swelling, particularly around the eyes and face, due to fluid retention caused by low levels of albumin in the blood.
Choice D rationale:
Irritability can be a symptom of many conditions and is not specifically indicative of nephrotic syndrome.
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