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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale
High energy levels are a hallmark symptom of cocaine intoxication. Cocaine stimulates the central nervous system, leading to heightened alertness, restlessness, and increased activity levels temporarily.
Choice B rationale
Drowsiness contradicts the stimulant effects of cocaine, which usually leads to wakefulness and reduced need for sleep during intoxication episodes.
Choice C rationale
Cocaine increases heart rate and blood pressure due to its stimulant properties, making a low heart rate inconsistent with the physiological effects of cocaine intoxication.
Choice D rationale
Cocaine use suppresses appetite through its effects on dopamine and serotonin systems. Increased appetite is more typical during withdrawal phases, not during intoxication.
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