A nurse is observing the Baker family. Christine Baker is holding the baby she delivered less than 24 hours ago. Her husband is watching Christine and asking questions about newborn care.
Jimmy, the 4-year-old big brother, is punching his mother on the back. The nurse should: a. report the incident to the social services department.
b. advise the Bakers that Jimmy needs to be reprimanded.
c. report to oncoming staff that Mrs. Baker is probably not a good disciplinarian.
d. realize that this is a normal family adjusting to family change.
Question 2
The nurse is caring for an immunosuppressed 3-year-old girl. The nurse is providing teaching to the mother about proper oral hygiene. Which of the following responses from the mother indicates a need for further teaching?
A) I really need to carefully check for skin breakdown.
B) I must really scrub her teeth and gums well.
C) I must use a soft toothbrush.
D) I can use a soft gauze sponge to care for her gums.
A nurse administers an intermittent bolus feeding.
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