Answer to Question 1
ANS: B
Patients are at risk for altered attachment when complications interfere with normal postpartum recovery. The best indication of resolution of this nursing diagnosis is the mother demonstrating care and concern for the baby by actively participating in the baby's care. Having resources to help with baby care is important, but does not demonstrate a lack of altered attachment. Making eye contact is a positive assessment finding, but is not as good of an indicator as actively caring for the baby.
Answer to Question 2
ANS: A
The presence of dyspnea and tachypnea may signal pulmonary embolism, and the nurse should summon help immediately to deal with this condition. After that, administer oxygen, raise the head of the bed, assess vital signs, or begin CPR immediately if needed. Documentation is only correct as the priority action when the findings are normal. Pain medication is a lower priority.
The human birth process as an example of positive feedback.
Bill Viola, Room for St. John of the Cross.
Scheduling patient appointments by telephone.
Instructing a Patient on Breast Self-Examination
Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues