The nurse is preparing to discharge an 18-month-old patient who has been in the hospital for repair of a cleft palate. Which statement is most appropriate for discharge teaching with the patient's mother?

Your child may want to be close to you most of the time for a while.

It would be a good idea to have your child sleep with you in your bed for a week or so after the child goes home.

You may find that your child is much more independent than before hospitalization.

Because of the attention your child has received in the hospital, you may need to set stricter limits than those in place before hospitalization.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

After undergoing cleft palate repair, it's appropriate to inform the mother that her child may want to be close to her most of the time. The child might feel more secure in the presence of their caregiver during the recovery period.

Choice B rationale:

Having the child sleep in the same bed is not typically recommended due to safety concerns, especially after surgery.

Choice C rationale:

Increased independence is not a common immediate response after hospitalization, especially for a young child recovering from surgery.

Choice D rationale:

While attention during hospitalization is important, it wouldn't necessarily translate to the need for stricter limits. Post-hospitalization care should focus on the child's comfort and recovery rather than punitive measures.

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Correct Answer is C

Explanation

Choice A rationale:

Misdiagnosis is unlikely since the glucose levels are improving, indicating a valid diagnosis.

Choice B rationale:

Insulin-producing cells don't regenerate in substantial amounts to normalize glucose levels within a month. This process takes longer.

Choice C rationale:

This choice correctly identifies the situation as a temporary improvement due to the remaining insulin-producing cells functioning better temporarily.

Choice D rationale:

Complete recovery is not likely in such a short time frame.

A. "Does my baby have any pain where she had her operation?". B. "I like to see my baby empty her formula bottle when I feed her.". C. "I wonder if people will notice the scar from my baby's surgery.". D. "My baby's nose is just like mine.".

Correct Answer is B

Explanation

Choice A rationale:

Inquiring about pain after surgery is a normal concern for a mother, but it doesn't necessarily indicate successful progress in attachment. It shows concern for the baby's well-being, but attachment involves more emotional and bonding aspects.

Choice B rationale:

Expressing joy in seeing the baby empty her formula bottle during feeding demonstrates an emotional connection and maternal satisfaction with providing for the infant's needs. This suggests successful attachment and bonding between the mother and baby.

Choice C rationale:

Concerns about the scar from surgery indicate the mother's focus on the physical appearance of the baby, which is not the primary marker of successful attachment. It reflects a different aspect of the mother's thoughts and emotions.

Choice D rationale:

Noting similarities in physical features doesn't necessarily indicate a deeper attachment. While it's a natural observation, attachment involves more emotional bonding than just physical resemblances.

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The nurse is preparing to discharge an 18-month-old patient who has been in the hospital for repair of a cleft palate. Which statement is most appropriate for discharge teaching with the patient's mother?

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Naxlex Comprehensive Predictor Exams

A patient newly diagnosed with insulin-dependent diabetes mellitus comes to the clinic one month after diagnosis. The mother tells the nurse, "My child is getting better. The glucose levels are almost normal and my child requires less insulin.". What is the most appropriate response by the nurse?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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