With regard to the initial visit with a patient who is beginning ...

[darbym82]

With regard to the initial visit with a patient who is beginning prenatal care, nurses should be aware that:
 
  a. The first interview is a relaxed, get-acquainted affair in which nurses gather some general impressions.
  b. If nurses observe handicapping conditions, they should be sensitive and not in-quire about them because the patient will do that in her own time.
  c. Nurses should be alert to the appearance of potential parenting problems such as depression or lack of family support.
  d. Because of legal complications, nurses should not ask about illegal drug use; that is left to physicians.

Question 2

The neonatal nurse explains to new parents that infants are at greater risk for fluid and electrolyte imbalance than are older children. Which of the following parent comments would indicate that further education is needed?
 
  1. Infants have a higher metabolic rate than older children do.
  2. An infant has little body water for reserve, as compared with an adult.
  3. Infants lose water through their skin, and they have a larger proportion of skin surface area than older children do.
  4. Infants maintain their temperature by losing heat through their heads.

[zacnyjessica]

Answer to Question 1

C

Feedback
A The initial interview needs to be planned, purposeful, and focused on specific content. A lot of ground must be covered.
B Nurses must be sensitive to special problems, but they do need to inquire be-cause discovering individual needs is important. People with chronic or handi-capping conditions forget to mention them because they have adapted to them.
C Besides these potential problems, nurses need to be alert to the woman's attitude toward health care.
D Getting information on drug use is important and can be done confidentially. Actual testing for drug use requires the patient's consent.

Answer to Question 2

4
Rationale:
1. This is a true statement.
2. This is a true statement.
3. This is a true statement.
4. Losing heat through their heads will have minimal affect on fluid loss in infants.

[darbym82]

TYSM

[sailorcrescent]

Excellent