Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet.
When the nurse offers to pick the newborn up and place him in the client's arms, the mother states, "No, the baby is too tired to be held." Which of the following actions should the nurse take?
A. Insist that the mother pick up the newborn to feed him.
Choice A is not the best answer because insisting that the mother pick up the newborn to feed him may make her feel uncomfortable or pressured.
B. Demonstrate how to hold the newborn and allow the client to practice.
The nurse should demonstrate how to hold the newborn and allow the client to practice. This will help the mother learn how to properly hold her baby and feel more confident in her ability to care for her newborn.
C. Persuade the client to breastfeed the newborn to promote bonding.
Choice C is not the best answer because persuading the client to breastfeed the newborn to promote bonding may not be appropriate if the mother has chosen to botle-feed her baby.
D. Offer to take the newborn to the nursery to finish his feeding.
Choice D is not the best answer because offering to take the newborn to the nursery to finish his feeding may not address the mother’s concerns about holding her baby.
E. Offer to take the newborn to the nursery to finish his feeding.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Maternal Newborn 2019 with NGN Proctored Exam. Take the full exam now
Full Explanation
The nurse should demonstrate how to hold the newborn and allow the client to
practice.
This will help the mother learn how to properly hold her baby and feel more confident in her ability to care for her newborn.
Choice A is not the best answer because insisting that the mother pick up the
newborn to feed him may make her feel uncomfortable or pressured.
Choice C is not the best answer because persuading the client to breastfeed the newborn to promote bonding may not be appropriate if the mother has chosen to botle-feed her baby.
Choice D is not the best answer because offering to take the newborn to the nursery to finish his feeding may not address the mother’s concerns about holding her baby.
Similar Questions
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of
gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
A. This procedure determines if your baby has genetic or congenital disorders.
The nurse should inform the client that amniocentesis is a procedure that determines if the baby has genetic or congenital disorders.
B. We can schedule the procedure for later today if you'd like.
Choice B is not the best answer because amniocentesis is typically performed after 15 weeks of gestation.
C. Your provider will schedule a chorionic villus sampling to determine the sex of your baby.
Choice C is not the best answer because chorionic villus sampling (CVS) is a different procedure from amniocentesis.
D. You cannot have an amniocentesis until you are at least years of age.
Choice D is not the best answer because there is no age restriction for having an amniocentesis.
Full Explanation
The nurse should inform the client that amniocentesis is a procedure that
determines if the baby has genetic or congenital disorders.
Choice B is not the best answer because amniocentesis is typically performed after 15 weeks of gestation.
Choice C is not the best answer because chorionic villus sampling (CVS) is a different procedure from amniocentesis.
Choice D is not the best answer because there is no age restriction for having an amniocentesis.
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation.
Which of the following food selections has the highest fiber content per cup?
A. Cabbage.
Choice A is not the answer because cabbage was not mentioned in the search results.
B. Oatmeal.
Choice B is not the answer because one cup of cooked oatmeal contains 5 grams of fiber.
C. Asparagus.
Choice C is not the answer because half a cup of boiled asparagus contains.4 grams of fiber.
D. Lentils.
According to Mayo Clinic, one cup of boiled lentils contains 15.5 grams of fiber.
Full Explanation
According to Mayo Clinic, one cup of boiled lentils contains 15.5 grams of fiber.
Choice A is not the answer because cabbage was not mentioned in the search results.
Choice B is not the answer because one cup of cooked oatmeal contains 5 grams of fiber.
Choice C is not the answer because half a cup of boiled asparagus contains 4 grams of fiber.
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
A. Creatinine 0.8 mg/dL.
Choice A is not the answer because a creatinine level of 0.8 mg/dL is within the normal range.
B. Platelet count 60,000/mm.
A platelet count of 60,000/mm is low and can be a sign of HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelet count), which is a serious complication of preeclampsia.
C. Hemoglobin 148 g/dL.
Choice C is not the answer because a hemoglobin level of 148 g/dL is within the normal range.
D. Urine protein concentration 200.
Choice D is not the answer because urine protein concentration of 200 mg/dL is within the normal range for preeclampsia.
Full Explanation
A platelet count of 60,000/mm is low and can be a sign of HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelet count), which is a serious complication of preeclampsia.
Choice A is not the answer because a creatinine level of 0.8 mg/dL is within the normal range.
Choice C is not the answer because a hemoglobin level of 148 g/dL is within the normal range.
Choice D is not the answer because urine protein concentration of 200 mg/dL is within the normal range for preeclampsia.