Answer to Question 1
ANS: C
A feeding session should be observed, especially if the mother is breastfeeding. Establishment of milk supply, adequacy of the breast milk, and general support are important topics to discuss for the mother who is breastfeeding for the first time. During the home visit, the nurse performs a physical examination of the mother and infant. Family adaptation to the addition of a new member and the adequacy of the mother's support system is also assessed. Cleanliness of the home environment is only a concern when the baby's health is at risk.
Answer to Question 2
ANS: D
Infants cannot signal that they have unmet needs in any other way but crying and are not spoiled when parents meet their needs. In fact, their needs must be met in a consistent, warm, prompt manner for the development of trust to occur. Infants who are consistently held when in distress cry less at 1 year and are less aggressive at 2 years of age. Therefore, parents should be taught the importance of consistently and quickly answering infant cries. The response to the assessment of intolerance of crying is a leading question and nontherapeutic communication. Infants cry for many reasons, including hunger, discomfort, fatigue, overstimulation, and boredom. Parents can often identify the problem based on the type of sound made during crying. Sometimes no specific cause can be determined. There is no mention in the stem of the question that the new mother is breastfeeding.
Mother about to pick up a cub by the neck
A, A nurse is adding a medication to an IV line as a piggyback
nurse
Multiple-dose drug administration: drug A and drug B are administered every 12 hours; drug B reaches
Treating the breast-feeding mother
The nurse conveys attentive listening through a posture of involvement