The nurse is making a postpartum visit to a teenage mother and her month-old infant.
Which of the following assessments would be most important?

Assessing how much the teenage mother's own mother is helping her cope with childcare.

Assessing the mother's ability to fulfill her own growth and development tasks.

Assessing the mother's knowledge about normal infant growth and development.

Assessing whether the baby's father is being helpful to the mother.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While family support can be crucial, assessing the teenage mother’s independent coping mechanisms provides a clearer picture of her ability to fulfill parental responsibilities.

Choice B rationale

A teenage mother must adapt to her developmental tasks alongside parental duties. Prioritizing her growth and resilience ensures she successfully balances personal development with childcare responsibilities.

Choice C rationale

Assessing the mother’s knowledge of infant growth and development is important, but developmental compatibility between the mother and her infant ensures healthy caregiving and addresses broader challenges.

Choice D rationale

Although paternal involvement is beneficial, its absence doesn’t inherently reflect maternal competency. Emphasis should be on the mother’s overall ability to manage and adapt.

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Correct Answer is D

Explanation

Choice A rationale

While improving self-esteem can benefit the client, it does not address the immediate danger posed by an abusive relationship. Self-esteem-focused interventions are long-term and secondary to ensuring the client’s physical safety and security in abusive situations.

Choice B rationale

Teaching the client to avoid conflict places the burden of change on the victim, which is inappropriate in cases of domestic abuse. It does not reduce the risk of harm or address the perpetrator’s behavior, nor does it prioritize the client’s safety.

Choice C rationale

Couples counseling is contraindicated in cases of domestic violence as it can increase the risk of harm to the victim. Addressing abuse requires individual interventions and prioritizing the safety of the victim rather than joint sessions that might escalate tension or conflict.

Choice D rationale

Developing a safety plan is the first priority when dealing with cases of domestic violence. This plan includes identifying safe spaces, emergency contacts, and strategies to leave the abusive environment if necessary. It addresses the immediate risk and ensures the client’s physical safety.

A. The baby will eventually develop tolerance to tobacco smoke. B. The parents should switch to chewing tobacco as long as the child lives in the home. C. Fetal nicotine syndrome may cause complications in the newborn. D. The sidestream/secondhand smoke that the baby is exposed to is more dangerous than the mainstream smoke that the parents are inhaling themselves.

Correct Answer is D

Explanation

Choice A rationale

It is scientifically incorrect to suggest that infants exposed to tobacco smoke will develop tolerance. Tobacco smoke contains harmful chemicals such as nicotine and carbon monoxide, which can damage developing lungs and increase the risk of respiratory illnesses and sudden infant death syndrome (SIDS). Tolerance does not mitigate these risks.

Choice B rationale

Chewing tobacco still contains nicotine and carcinogens. Although it reduces exposure to sidestream smoke, it still poses risks for nicotine addiction and poisoning, particularly through secondhand exposure and accidental ingestion by children. This recommendation is not supported by scientific evidence.

Choice C rationale

Fetal nicotine syndrome, also known as neonatal nicotine withdrawal, can result from prenatal tobacco exposure. However, this syndrome primarily affects babies exposed to nicotine in utero. Postnatal exposure to tobacco smoke is linked to other complications such as respiratory infections and SIDS, which are immediate concerns.

Choice D rationale

Sidestream smoke, emitted from the burning end of a cigarette, contains higher concentrations of carcinogens and toxins compared to mainstream smoke inhaled by the smoker. Infants exposed to secondhand smoke are at greater risk for respiratory conditions, SIDS, and developmental issues due to these higher concentrations.

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The nurse is making a postpartum visit to a teenage mother and her month-old infant.Which of the following assessments would be most important?

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Correct Answer is D

Explanation

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The nurse is making a postpartum visit to a teenage mother and her month-old infant.Which of the following assessments would be most important?

The nurse is making a postpartum visit to a teenage mother and her month-old infant.
Which of the following assessments would be most important?