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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Having family members present during communication can inhibit openness, as clients might fear judgment or repercussions from family disclosure about sensitive issues.
Choice B rationale
Direct and honest communication fosters trust and encourages abused clients to open up, improving engagement in care and emotional expression without feeling coerced.
Choice C rationale
Probing for factual accounts may seem invasive and can deter communication, increasing stress levels for withdrawn clients who are hesitant to share details.
Choice D rationale
Providing basic wound care addresses physical needs but fails to promote emotional communication, which is critical in cases of suspected abuse. .
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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