The nurse is caring for a 9-month-old infant who just returned ...

[lidoalex]

The nurse is caring for a 9-month-old infant who just returned from the postanesthesia care unit (PACU) after a shunt placement for hydrocephalus. Which healthcare provider prescription should the nurse question?
 
  1. Vital signs and neurologic checks hourly
  2. Small, frequent formula feedings
  3. Elevate head of bed
  4. Daily head circumference

Question 2

The maternal nurse educator is conducting a presentation for antepartum clients describing the identification and care of women diagnosed with postpartum psychiatric disorders. Which information should the maternal nurse educator include in the teaching content?
 
  1. Postpartum depression occurs in as many as 50 to 70 of mothers and is characterized by mild depression interspersed with happier feelings.
  2. Postpartum depression is typically mild and usually self-limiting, lasting up to 6 weeks.
  3. Even if she is asymptomatic, a woman with a history of postpartum depression should be referred to a mental health professional for counseling and biweekly visits postpartum.
  4. Women with postpartum depression have a history of exposure to an extremely traumatic personal event that involves actual or threatened death or serious injury and evokes intense fear, helplessness, or horror.

[blazinlyss]

Answer to Question 1

3
Explanation:
1. Frequent vital signs and neurologic checks are needed postoperatively.
2. Small, frequent feedings are appropriate to decrease the chance of vomiting.
3. The 9-month-old should be placed in a flat position so that cerebrospinal fluid drainage is not too rapid.
4. Daily head circumferences are needed to help evaluate shunt functioning.

Answer to Question 2

3
Explanation:
1. As many as 50 to 70 of mothers develop adjustment reaction with depressed mood, which is also known as postpartum blues or as maternal or baby blues. Unlike postpartum depression, this condition is characterized by mild depression interspersed with happier feelings.
2. Postpartum blues typically manifest as mild symptoms that are transient and self-limiting. Postpartum depression is severe and poses major threats to the woman and the infant, as well as to the father/partner.
3. Women with a history of postpartum psychosis or depression or other risk factors should be referred to a mental health professional for counseling and biweekly visits between the second and sixth week postpartum for evaluation.
4. Posttraumatic stress disorder, or PTSD (also called posttraumatic stress syndrome), is associated with exposure to an extremely traumatic event involving direct personal experience with actual or threatened death or serious injury, and evokes a reaction of intense fear, helplessness, or horror.