Answer to Question 1
B
Feedback
A It is impossible for one nurse to be on call for one mother and baby for the entire
shift, so the parents need to be able to identify the nurses who are working on the
unit.
B Infants should be transported in the hallways only in their cribs.
C This will be difficult to monitor and will limit the mother's support system from
visiting.
D Infants need to spend time with the parents to facilitate the bonding process.
Answer to Question 2
C
Feedback
A The nurse should respond positively for requests for information about
procedures and health information. By not responding, the nurse may be limiting
communication with the child.
B The child is not exhibiting anxiety, just requesting clarification of what will be
occurring.
C School-age children require explanations and reasons for everything. They are
interested in the functional aspect of all procedures, objects, and activities. It is
appropriate for the nurse to explain how equipment works and what will happen
to the child.
D The nurse must explain how the blood pressure cuff works so that the child can
then observe during the procedure.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
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