The mother visits her infant in the nursery.
The nurse shows the mother how to place her finger in the palm of the baby’s hand so that the baby will squeeze her finger.This behavior on the nurse’s part reflects an understanding of which principle?
It is necessary to promote muscle tone to minimize acrocyanosis.
It is necessary to encourage tactile stimulation to promote the myelinization of nerves.
When the neonate responds to the mother by some signal, attachment behavior is stimulated in the mother.
When reflexes are stimulated in the neonate, a normal growth pattern ensues.
The Correct Answer is C
The correct answer is choice C. When the neonate responds to the mother by some signal, attachment behavior is stimulated in the mother. This is based on the rooting reflex, which helps the baby find the breast or bottle to start feeding and also promotes bonding between the mother and the baby.
Choice A is wrong because acrocyanosis is a normal condition in newborns that causes bluish discoloration of the hands and feet due to poor circulation. It is not related to muscle tone or reflexes.
Choice B is wrong because myelinization of nerves is a process that occurs gradually during development and is not influenced by tactile stimulation. Myelin is a fatty substance that covers nerve fibers and helps them transmit signals faster and more efficiently.
Choice D is wrong because reflexes are involuntary movements or actions that do not depend on conscious thought or learning. They are not directly related to growth patterns, although they may indicate the health and development of the brain and nervous system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice B. Test the patient’s vaginal secretions with nitrazine paper.
This is because the patient may be leaking amniotic fluid rather than urine, and nitrazine paper can help differentiate between the two by testing the pH level.Amniotic fluid is alkaline and will turn the paper blue, while urine is acidic and will turn the paper yellow.
Choice A is wrong because checking the patient’s bladder for distention will not help determine if the patient is leaking amniotic fluid or urine.
Choice C is wrong because checking the patient’s urine for glucose content will not help determine if the patient is leaking amniotic fluid or urine.
Glucose content may be elevated in patients with gestational diabetes, but this is not related to the patient’s complaint.
Choice D is wrong because obtaining a specimen of the patient’s vaginal secretions for culture will not help determine if the patient is leaking amniotic fluid or urine.
Culture may be done to check for infections, but this is not the initial action that the nurse should take.
Correct Answer is D
Explanation
The correct answer is choice D. Encourage the client to drink cold, carbonated fluids throughout the day.This helps to relieve the shoulder pain caused by the carbon dioxide gas used to inflate the abdomen during laparoscopy.
The gas irritates the diaphragm, which refers pain to the shoulder.Drinking cold, carbonated fluids can help expel the gas and reduce the pain.
Choice A is wrong because an abdominal binder is not necessary for a laparoscopic procedure.It is more commonly used for abdominal surgeries that involve a large incision.
Choice B is wrong because a rocking chair is not helpful for a client who had a laparoscopic BTL.It is more useful for a client who had a vaginal delivery to promote comfort and uterine involution.
Choice C is wrong because keeping the head of the bed flat for six hours is not indicated for a laparoscopic BTL.It may increase the risk of venous thromboembolism and pulmonary embolism due to prolonged immobility.The client should be encouraged to ambulate as soon as possible after surgery.
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