A new mom delivered her baby 2 months ago.
The baby's father calls into the office to report that his wife is angry.
She is confused and having conversations with herself.
What is the appropriate response that the nurse should make?

Please take your wife to the nearest emergency room for evaluation.

Please bring your wife to the office for medication.

Your wife needs outpatient care.

Your wife needs behavioral therapy.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Advising the caller to take his wife to the nearest emergency room for evaluation is the appropriate response. The new mom's symptoms, including confusion and auditory hallucinations (conversations with herself), are indicative of a serious mental health condition. These symptoms could be caused by postpartum psychosis, a rare but severe form of postpartum depression. Postpartum psychosis requires immediate medical attention and hospitalization for the safety of both the mother and the baby. It is essential to rule out any potential medical causes and provide appropriate psychiatric evaluation and treatment in an emergency setting.

Choice B rationale:

Bringing the wife to the office for medication is not appropriate in this situation. The symptoms described by the baby's father are severe and require urgent evaluation in an emergency room. Medication management should only be initiated after a comprehensive psychiatric evaluation, which can be conducted in an emergency room setting.

Choice C rationale:

Suggesting outpatient care is not appropriate in this case. The severity of the symptoms, including confusion and hallucinations, indicates the need for immediate evaluation in an emergency setting. Outpatient care is not sufficient for addressing acute psychiatric emergencies.

Choice D rationale:

Recommending behavioral therapy is not appropriate for a situation involving acute confusion and hallucinations. Behavioral therapy is a valuable treatment for various mental health conditions, but it is not the appropriate intervention for acute symptoms like those described in this scenario.

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Correct Answer is ["B","C","E"]

Explanation

C. Hepatitis B, and E. HIV/AIDS.

Choice A rationale:

Diabetes. Diabetes is not an infectious disease but a metabolic disorder characterized by high blood sugar levels. It does not pose a risk of maternal complications due to infection and is not a risk factor for infectious diseases during the preconception phase.

Choice B rationale:

Rubella. Rubella is a viral infection that can cause serious complications during pregnancy, including congenital rubella syndrome, which can lead to developmental abnormalities in the fetus. It is crucial for women to be immune to rubella before conception to prevent these complications.

Choice C rationale:

Hepatitis B. Hepatitis B is a viral infection that can lead to liver inflammation and potentially serious complications. Pregnant women with hepatitis B can transmit the virus to their newborns during childbirth. Proper screening, vaccination, and medical management are necessary to prevent transmission and maternal complications.

Choice D rationale:

Anemia. Anemia is a condition characterized by a deficiency of red blood cells or hemoglobin in the blood. While anemia can have various causes, it is not an infectious disease and does not directly increase the risk of maternal complications due to infection during the preconception phase.

Choice E rationale:

HIV/AIDS. HIV/AIDS is a viral infection that weakens the immune system, making individuals more susceptible to

A. Weigh the infant every day on the same scale at the same time. B. Notify the physician when weight gain exceeds more than 20 g/day. C. Put the infant in a car seat to minimize movement. D. Administer digoxin as ordered by the physician.

Correct Answer is A

Explanation

Choice A rationale:
Weighing the infant every day on the same scale at the same time is crucial in monitoring excess fluid volume in congestive heart failure. Sudden weight gain can indicate fluid retention, a common sign of worsening heart failure. Daily weight monitoring helps in early detection and timely intervention.
Choice B rationale:
Notifying the physician when weight gain exceeds more than 20 g/day might be too late for intervention. Daily weight monitoring is essential to detect trends and intervene promptly to manage excess fluid volume.
Choice C rationale:
Placing the infant in a car seat to minimize movement is not directly related to managing excess fluid volume in congestive heart failure. It is essential for safety during transportation but does not address the nursing diagnosis.
Choice D rationale:
Administering digoxin as ordered by the physician is a medical intervention for congestive heart failure. While important, the nursing diagnosis is related to excess fluid volume, and the focus should be on nursing interventions such as monitoring daily weights.

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A new mom delivered her baby 2 months ago.The baby's father calls into the office to report that his wife is angry.She is confused and having conversations with herself.What is the appropriate response that the nurse should make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the preconception phase, the nurse should teach about which infectious diseases as risk factors for maternal complications? (Select all that apply).

Correct Answer is ["B","C","E"]

Explanation

Which intervention should be included in the plan of care for an infant with the nursing diagnosis of Excess Fluid Volume related to congestive heart failure?

Correct Answer is A

Explanation

Because a full bladder prevents the uterus from contracting normally, nurses intervene to help the woman empty her bladder spontaneously as soon as possible.If all else fails, the last thing the nurse could try is.

The nurse is assessing a child with acute epiglottitis. Examining the child's throat by using a tongue depressor might precipitate which symptom or condition?

A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician of what conditions occur. (Select all that apply.).

The nurse is developing a dietary teaching plan for a patient on a vegetarian diet.The nurse should provide the patient with which examples of protein-containing foods? (Select all that apply.).

An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that, if she dies, she will go to hell.How should the nurse interpret this belief?

Parents of a school-age child with hemophilia ask the nurse, "Which sports are recommended for children with hemophilia?" Which sport should the nurse recommend?

What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?

During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is:

A new mom delivered her baby 2 months ago.
The baby's father calls into the office to report that his wife is angry.
She is confused and having conversations with herself.
What is the appropriate response that the nurse should make?