Immediately after birth, the father of the newborn holds the baby close, stares into his eyes, and seems captivated by him. The nurse recognizes this as the normal process of:

Sublimation

claiming

mutuality

engrossment

Answer and Explanation

The Correct Answer is D

A) Sublimation:
Sublimation refers to a defense mechanism where a person redirects potentially negative emotions or impulses into socially acceptable behaviors or activities. While this is a psychological concept, it does not apply to the father’s behavior immediately after birth. The father's actions, such as gazing at his baby and bonding, are not a result of sublimation but rather a normal part of bonding and attachment.

B) Claiming:
Claiming refers to the process where parents identify specific traits or characteristics in their newborn that they feel emotionally connected to, such as "He has my eyes" or "She has your nose." While the father might be engaging in claiming behaviors as he bonds with his baby, this term is more focused on recognizing physical attributes, rather than the intense emotional connection and captivation that is reflected in the scenario.

C) Mutuality:
Mutuality involves the reciprocal relationship between the newborn and the parents, where both give and receive emotional responses. It develops as the baby and parent interact, such as through eye contact, touch, and vocalizations. However, mutuality is a broader, ongoing process, while the father's behavior in this instance reflects a more specific emotional attachment and admiration, which aligns more closely with engrossment.

D) Engrossment:
Engrossment refers to the intense fascination and preoccupation that a parent, especially a father, feels toward their newborn. This process is characterized by behaviors such as gazing at the baby, holding them closely, and being captivated by their every movement. The father’s behavior in this scenario—staring into his baby’s eyes and showing deep emotional engagement—fits the definition of engrossment, which is a common and normal part of the bonding process immediately after birth.

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Correct Answer is C

Explanation

A) "Have you had any health concerns during your pregnancy?"
While it's important to assess the client's overall health and pregnancy history, this question doesn't directly address the current concern of possible labor and does not immediately help assess the client's status for labor evaluation. The focus should be on signs of labor or complications at this point.

B) "Do you have a support person present?"
Although this is a helpful question to ask in preparation for labor, it doesn't provide the necessary information needed to assess whether the client is in labor. The priority at this stage is determining if the client is in labor or experiencing any complications, such as rupture of membranes.

C) "Have you noticed any fluid leaking from your vagina?"
This is the most important question to ask next. If the client has ruptured membranes (i.e., water breaking), it is important to assess the timing and nature of the fluid leakage, as it would indicate the need for immediate evaluation at the hospital. Rupture of membranes requires monitoring for infection and should prompt the client to come in for assessment regardless of the frequency or intensity of contractions.
D) "When was your last prenatal visit?"
While it is helpful to know when the client had their last prenatal visit, this question does not directly address the issue of possible labor. The priority is to determine if the client is in labor, whether their membranes have ruptured, or if there are any other complications such as bleeding or abnormal fetal movement. The question about fluid leakage is more immediate and relevant to their current condition.

Correct Answer is ["3.6"]

Explanation

Given:

Desired dose: Ceftazidime 1 g IM every 6 hours

Available concentration: Ceftazidime 280 mg/mL

To find:

Volume to administer (in mL)

Step 1: Convert desired dose to milligrams

1 gram (g) is equal to 1000 milligrams (mg).

Multiply by 1000:

Desired dose (mg) = Desired dose (g) x 1000

Desired dose (mg) = 1 g x 1000 = 1000 mg

Step 2: Set up the proportion

We can use the following proportion to solve the problem:

(Desired dose) / (Available concentration) = Volume to administer

Step 3: Substitute the values

Plugging in the given values, we get:

(1000 mg) / (280 mg/mL) = Volume to administer

Step 4: Simplify

To simplify, we can invert the denominator and multiply:

(1000 mg) x (1 mL / 280 mg) = Volume to administer

The "mg" units cancel out, leaving us with:

(1000 x 1 mL) / 280 = Volume to administer

Step 5: Calculate

Performing the multiplication and division, we get:

1000 mL / 280 = Volume to administer

3.57 mL ≈ Volume to administer

Step 6: Round to the nearest tenth

3.6mL

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Immediately after birth, the father of the newborn holds the baby close, stares into his eyes, and seems captivated by him. The nurse recognizes this as the normal process of:

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Naxlex Comprehensive Predictor Exams

A client who is primiparous at 40 weeks of gestation calls the labor and delivery unit to ask about coming in to be evaluated for labor. The client reports having contractions every 6 to 8 min, which feels slightly painful. Which of the following questions should the nurse ask the client next?

Correct Answer is C

Explanation

Correct Answer is ["3.6"]

Explanation

Calculate the gravity rate for gentamycin 100 mg/100ml with secondary tubing (20gtts/mL) over 60 minutes.

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