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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A) Presence of a two-vessel umbilical cord:
The presence of a two-vessel umbilical cord (instead of the normal three vessels, which includes two arteries and one vein) is a significant finding that requires follow-up. A two-vessel cord can be associated with fetal anomalies, particularly with renal, cardiac, or chromosomal conditions. Therefore, it requires further evaluation to rule out any underlying conditions and ensure proper organ development.
B) Molding of the skull:
Molding of the skull is a normal and expected finding in newborns following a vaginal birth, especially after a long or difficult delivery. It refers to the temporary reshaping of the fetal skull bones as they overlap to pass through the birth canal. This is typically self-correcting and resolves within a few days, so no follow-up is needed for molding.
C) Asymmetry of ears:
Asymmetry of the ears can indicate congenital anomalies, such as craniofacial syndromes or other physical deformities. Although some degree of asymmetry can occur in newborns, especially in the first hours of life, persistent or significant asymmetry should be evaluated further. It may indicate an abnormality that requires follow-up or assessment by a specialist.
D) Tongue extending past the lower lip:
A tongue that extends past the lower lip is a normal finding in newborns, as babies are still developing their oral reflexes and muscle tone. This is not a cause for concern, and no follow-up is required unless other feeding issues arise. It's important to differentiate between normal tongue movements and more serious concerns like tongue-tie (ankyloglossia), but this is not indicative of a problem by itself.
E) Diminished breath sounds on one side:
Diminished breath sounds on one side of the chest can indicate a serious issue, such as a pneumothorax, diaphragmatic hernia, or other respiratory concerns. This finding warrants immediate follow-up, as the newborn could be experiencing a respiratory distress condition that needs urgent intervention and management. This is a significant finding requiring immediate evaluation.
Correct Answer is ["2"]
Explanation
Given:
Desired dose: Ampicillin 0.5 g PO
Available concentration: Ampicillin capsules 250 mg each
To find:
Number of capsules to administer for a single dose
Step 1: Convert desired dose to milligrams
We know that 1 gram (g) is equal to 1000 milligrams (mg). Therefore, to convert the desired dose from grams to milligrams, we multiply by 1000:
Desired dose (mg) = Desired dose (g) x 1000
Desired dose (mg) = 0.5 g x 1000 = 500 mg
Step 2: Calculate the number of capsules
To find the number of capsules, we divide the desired dose by the strength of each capsule:
Number of capsules = Desired dose / Capsule strength
Number of capsules = 500 mg / 250 mg/capsule = 2 capsules
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