Your patient is diagnosed with perinatal mood and anxiety disorder. You know your patient understands your teaching about this when she states:

I am a terrible mother and should give my child up for adoption.

This is just normal baby blues and I will be fine in a few days.

I will have to be on medications the rest of my lifE.

I am not alone, I am not to blame, I will get better with help.

Answer and Explanation

The Correct Answer is D

Choice A: I am a terrible mother and should give my child up for adoption. This is a false and harmful statement that reflects low self-esteem, guilt, and hopelessness. These are common symptoms of perinatal mood and anxiety disorder, but they do not reflect the reality or the potential of the patient. The patient needs support, counseling, and possibly medication to overcome these negative thoughts.

Choice B: This is just normal baby blues and I will be fine in a few days. This is a false and minimizing statement that denies the severity and duration of perinatal mood and anxiety disorder. Baby blues are mild and transient mood changes that occur in the first two weeks after delivery. Perinatal mood and anxiety disorder is a more serious and persistent condition that can affect the mother's mental health, bonding with the baby, and daily functioninG. The patient needs to recognize the signs and symptoms of perinatal mood and anxiety disorder and seek professional help.

Choice C: I will have to be on medications the rest of my lifE. This is a false and pessimistic statement that assumes that perinatal mood and anxiety disorder is a chronic and incurable condition. Medications are one of the treatment options for perinatal mood and anxiety disorder, but they are not the only onE. Psychotherapy, peer support, lifestyle changes, and alternative therapies are also effective ways to manage perinatal mood and anxiety disorder. The patient needs to have a realistic and hopeful outlook on the recovery process and the possibility of remission.

Choice D: I am not alone, I am not to blame, I will get better with help. This is a true and empowering statement that reflects the key messages of perinatal mood and anxiety disorder education and awareness. The patient needs to know that perinatal mood and anxiety disorder is a common and treatable condition that affects many women around the worlD. The patient needs to understand that perinatal mood and anxiety disorder is not caused by personal weakness, failure, or fault. The patient needs to believe that perinatal mood and anxiety disorder can be overcome with the help of health care providers, family, friends, and support groups.

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Correct Answer is B

Explanation

Choice A: Administering saline drops into the newborn's nares is not the first action, as it can cause aspiration and irritation of the nasal mucosA. The nurse should clear the airway of the newborn before administering any medication or fluiD.

Choice B: Suctioning the newborn's mouth first and then the nose with a bulb syringe is the first and most important action, as it can remove the excess mucus and prevent obstruction and aspiration of the airway. The nurse should squeeze the bulb syringe before inserting it into the mouth or nose and release it gently to create suction. The nurse should suction the mouth before the nose to avoid pushing the mucus back into the throat.

Choice C: Placing the newborn in Trendelenburg position is not an appropriate action, as it can cause the mucus to flow back into the throat and lungs and increase the risk of aspiration and infection. The nurse should keep the newborn's head slightly lower than the chest to facilitate the drainage of the mucus.

Choice D: Performing deep suctioning of the newborn's trachea with an endotracheal tube is not an appropriate action, as it can cause trauma and inflammation of the trachea and vocal cords and increase the risk of bleeding and infection. The nurse should only perform this action if the newborn has signs of respiratory distress or meconium aspiration and under the supervision of a provider.

A. "You are far enough along that your baby will be just finE." B. "Everyone worries about their baby while they are in labor." C. "You must be feeling very scareD. Tell me more about your concerns." D. "We have a neonatal unit here equipped to handle emergencies."

Correct Answer is C

Explanation

A. "You are far enough along that your baby will be just finE." This is not a good response because it is dismissive of the client's concerns and does not provide any factual information or reassurancE. The nurse should not make false promises or minimize the client's feelings.

B. "Everyone worries about their baby while they are in labor." This is not a good response because it is generalizing and does not address the client's specific situation. The nurse should not compare the client to others or imply that their worries are normal or insignificant.

D. "We have a neonatal unit here equipped to handle emergencies." This is not a good response because it implies that there is a high risk of complications and may increase the client's anxiety. The nurse should not focus on negative outcomes or scare the client with unnecessary information.

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Your patient is diagnosed with perinatal mood and anxiety disorder. You know your patient understands your teaching about this when she states:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a newborn immediately following birtH. The nurse notes mucus bubbling out of the newborn's mouth and nosE. Which of the following actions should the nurse take first? (Select onE.:

Correct Answer is B

Explanation

A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse make?

Correct Answer is C

Explanation

Intrauterine resuscitation for an evolving category II or category III tracing includes (Select all that apply):

A nurse is caring for a client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy. For which of the following indications should the nurse administer Rho(D. immune globulin?

A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?

Your patient is receiving magnesium sulfate for neuroprotection and preterm labor at 1 gram/hour. The most concerning vital sign below is:

A nurse is caring for a newborn immediately following delivery. Which of the following actions should be the nurse's priority in the resuscitation of this neonate?

A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect?

A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rulE. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?