Nursing Care of ChildrenMaternal

Nursing Care of Children/Maternal Newborn Capstone

A nurse is reinforcing teaching with a client who is postpartum and plans to breastfeed their newborn. Which of the following statements by the client indicates an understanding of the teaching?

• "I should add 500 calories per day to my diet."
• "I will use antibacterial soap and warm water to wash my breasts."
• "Breastfeeding is a reliable method of birth control."
• "If my nipples become cracked and red, I will apply hydrocortisone

cream." (Ans- 1. "I should add 500 calories per day to my diet."

A nurse is collecting data from an infant who has Hirschsprung's disease.Which of the following manifestations should the nurse expect?

• Abdominal distention
• Steatorrhea
• Blood-tinged emesis
• Dysphagia

(Ans- 1. Abdominal distention

A nurse is collecting data from a client who is 6 weeks postpartum. The client tells the nurse, "I am not a good mother. My baby doesn't like me." Which of the following actions should the nurse take?

• Advise the client that most new mothers experience these feelings
• Ask the client if they have had thoughts about harming their infant.
• Explain to the client they are experiencing the "baby blues."
• Take the client to the emergency department.

(Ans- 2. Ask the client if they have had thoughts about harming their infant.

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A nurse is reinforcing teaching with an adolescent client who uses inhalers for the treatment of asthma. Which of the following statements by the client indicates an understanding of the teaching?

• "I will wait 15 seconds between puffs when using my levalbuterol inhaler.
• "I need to use my fluticasone inhaler when I start to wheeze during

exercise."

• "I need to use my levalbuterol inhaler before I exercise.
• "I will stop using my fluticasone inhaler if I experience restlessness."

(Ans- 3. "I need to use my levalbuterol inhaler before I exercise.

A nurse is reinforcing teaching with a parent of an infant who has diaper dermatitis and a new prescription for zinc oxide ointment. Which of the following statements by the parent indicates an understanding of the teaching?

• "I will wash off the ointment with each diaper change."
• "I should shake talcum powder onto the reddened areas."
• "I should dry the diaper area with a hair dryer on the lowest setting."
• "I will use moist disposable wipes that are detergent free."

(Ans- 4. "I will use moist disposable wipes that are detergent free."

A nurse is reinforcing teaching with a parent of a school-age child who has tonic-Clonic seizures. Which of the following statements should the nurse make regarding care during a seizure?

• "You should offer your child sips of clear liquids."
• "You should gently restrain your child using both of your arms."
• "You should place your child's head on a pillow."
• "You should give rectal diazepam to your child at the onset of the

seizure." (Ans- 3. "You should place your child's head on a pillow."

A nurse is reviewing laboratory reports for four antepartum clients. Which of the following laboratory results should the nurse report to the provider?

• 2-hr postprandial glucose 105 mg/dL
• Negative group B streptococcus -hemolytic
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