A nurse is caring for a postpartum patient.
Which statement by the patient should the nurse recognize as an indication of inhibited parental attachment?
“Do you think you could keep him in the nursery for the next feeding so I can get some sleep?”
“I don’t need a baby bath demonstration. I know how to do it.”.
“I wish he had more hair. I will keep a hat on his head until he grows some."
“He’s got my husband’s nose, that’s for sure.”.
The Correct Answer is A
Choice A rationale
The statement “Do you think you could keep him in the nursery for the next feeding so I can get some sleep?” indicates that the mother may be experiencing inhibited parental attachment.
After childbirth, it is normal for a new mother to feel tired and need rest. However, consistently preferring to have the baby cared for in the nursery rather than spending time bonding may suggest inhibited parental attachment.
Choice B rationale
The statement “I don’t need a baby bath demonstration. I know how to do it.”. suggests that the mother is confident in her ability to care for her baby, which is a positive sign of parental attachment. It shows that she is prepared and willing to take on the responsibilities of parenthood.
Choice C rationale
The statement “I wish he had more hair. I will keep a hat on his head until he grows some.”. may indicate a slight disappointment in the baby’s appearance but does not necessarily indicate inhibited parental attachment. It’s common for parents to have certain expectations or hopes about their baby’s appearance.
Choice D rationale
The statement “He’s got my husband’s nose, that’s for sure.”. indicates that the mother is observing and commenting on the baby’s features, which is a positive sign of parental
attachment. Recognizing familial features helps in bonding and forming an attachment with the baby.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
Choice A rationale: CNS manifestations such as headaches are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin, a gonadotropin-releasing hormone (GnRH) agonist, works by reducing the production of estrogen in the body. This can lead to a variety of side effects, including headaches. While these side effects can be bothersome, they do not indicate that the medication is effectively treating the endometriosis.
Choice B rationale: The reduction in pain level during sexual intercourse, or dyspareunia, is a therapeutic effect of nafarelin. Endometriosis can cause painful sexual intercourse, and one of the goals of treatment with nafarelin is to reduce this pain. The client’s report of decreased dyspareunia suggests that the nafarelin is effectively treating the endometriosis.
Choice C rationale: Changes in the nasal mucosa, such as irritation, are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin is administered intranasally, which can lead to irritation of the nasal mucosa. While this side effect can be bothersome, it does not indicate that the medication is effectively treating the endometriosis.
Choice D rationale: Changes in breast size are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin can cause a variety of side effects, including changes in breast size. While this side effect can be bothersome, it does not indicate that the medication is effectively treating the endometriosis.
Choice E rationale: The absence of menstruation, or amenorrhea, is a therapeutic effect of nafarelin. Nafarelin works by reducing the production of estrogen in the body, which can lead to a temporary halt in menstruation. This is a therapeutic effect as it can help to reduce the pain and other symptoms associated with endometriosis.
Choice F rationale: Dermatological manifestations such as increased acne are not a therapeutic effect of nafarelin. These are side effects of the medication. Nafarelin can cause a variety of side effects, including increased acne. While this side effect can be bothersome, it does not indicate that the medication is effectively treating the endometriosis.
Correct Answer is B
Explanation
Step 1 is… The provider has prescribed 40 mg of fluoxetine to be taken orally daily.
Step 2 is… The available medication is fluoxetine 20 mg/mL. Therefore, the nurse should administer 40 mg ÷ 20 mg/mL = 2 mL89.
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