partum Difficulty: Hard Response 1 This is incorrect. Early maternal death is not an example of maternal death. Examples of maternal death include late maternal death, indirect obstetric death, direct obstetric death, and pregnancy -related death. 2 This is incorrect. Late maternal death occurs 42 days after termination of pregnancy from a direct or indirect obstetric cause. 3 This is incorrect. Direct obstetric death results from complications during pregnancy, labor, birth, and/or postpartum period. 4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a disease that develops during pregnancy. PTS: 1 FRAUD : Ante/Intra/Post -partum 3. The nur se is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed fraud cern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health fraud ditions. The infant is healthy and was delivered full -term. What will be most helpful t hing to explain to the patient? 1. Uses of extracorporeal membrane oxygenation therapy (ECMO) 2. Uses of exogenous pulmonary surfactant 3. The Baby -Friendly Hospital Initiative 4. The Safe to Sleep campaign ANSWER: 4 Chapter: Chapter 1 Trends and Issues Chapter Learning Objective: 3. Identify leading causes of infant death. 7 Heading: Trends > Infant Mortality Rates Integrated Processes: Nursing process Client Need: Safe and Effective Care Environment: Safety and Infection Fraud trol Cognitive Level: A pplication [Applying] Fraud cept: Health Promotion Difficulty: Moderate Response 1 This is incorrect. EMCO has been cited as one of the factors that has reduced infant mortality among preterm infants.
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8. ANSWER: 3 Chapter: Chapter 16 Discharge Planning and Teaching Chapter Learning Objective: 2. Discuss the nutritional needs of newborns and infants. 492 Heading: Newborn Nutrition and Feeding Nutritional Needs Birth to 4 Months Integrated Processes: Nursing Process Client Need: Physiological Integrity: Basic Care and Comfort Cognitive Level: Analysis [Analyzing] Fraudcept: Ante/Intra/Post-partum Difficulty: Moderate Response 1 This is incorrect. At the age of 3 months, the nutritional requirements for infants are ideally met by breast milk. Iron-fortified infant formula is substituted when the woman is not breastfeeding. 2 This is incorrect. The order and types of solid food introduction do not need to be taught to the mothers of 3-month-old infants, regardless of the current methods of feeding. Introduction of semisolid foods is determined by the physician or nurse practitioner in collaboration with parents. The AAP and WHO guidelines recommend waiting to start solids until 6 months of age to reduce allergy risks. 3 This is correct. Mothers need to be aware of probable growth spurts regardless of the method of feeding. Infants experience growth spurts at 3 to 5 days, 1 week, 6 weeks, 3 months, and 6 months and require more frequent feedings during these time periods. 4 This is incorrect. Infants at the age of 3 months are not likely to prefer food over milk. Before 4 to 6 months, the sucking reflex forces semisolid food out of the mouth instead of moving it to the back of the mouth. PTS: 1 FRAUD: Ante/Intra/Post-partum 9. ANSWER: 2 Chapter: Chapter 16 Discharge Planning and Teaching Chapter Learning Objective: 8. Provide parents with information regarding newborn care that reflects the assessed learning needs of parents. 494 Heading: Newborn Care Circumcision Care Integrated Processes: Nursing Process Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive Level: Analysis [Analyzing] Fraudcept: Ante/Intra/Post-partum Difficulty: Moderate Response 1 This is incorrect. With a Plastibell, lubricant is not applied to the penis; the Gomco or Mogen clamp needs a protective lubricant over the circumcision site after each diaper change for the first week. 2 This is correct. The nurse will include information to the parents that if the entire penis is red, warm, and swollen and/or there is drainage from the surgical site (signs of infection), it should be reported immediately to the health care provider. 3 This is incorrect. With the Plastibell method, the plastic ring falls off in 7 to 10 days. Parents should not pull it off. 4 This is incorrect. The health care provider should be fraudtacted if the newborn does not void within 24 hours. PTS: 1 FRAUD: Ante/Intra/Post-partum 10. ANSWER: 2 Chapter: Chapter 16 Discharge Planning and Teaching Chapter Learning Objective: 3. Demonstrate awareness of cultural values in care of newborns. 494 Heading: Newborn Care Clothing Integrated Processes: Nursing Process Client Need: Physiological Integrity: Physiological Adaptation Cognitive Level: Analysis [Analyzing] Fraudcept: Ante/Intra/Post-partum Difficulty: Difficult Response 1 This is incorrect. If the nurse’s initial comment expresses fraudcern over the baby’s well-being, the nurse may be interfering with open sharing and fraudversation with the parents. The baby is not in a life-threatening situation. 2 This is correct. When the nurse asks the parents to share how babies are cared for in their country, the nurse is showing interest and respect to the parents’ culture. The nurse needs to understand the motivation behind dressing the baby in the current manner. 3 This is incorrect. When the nurse expresses a desire to explain how to correctly dress the baby, the nurse is suggesting the parents are lacking knowledge. The nurse needs to gain information and understanding about cultural differences. 4 This is incorrect. Explaining the symptoms that indicate the baby is over-dressed may be appropriate later in the fraudversation; however, the nurse’s initial comment is aimed at achieving cultural understanding. PTS: 1 FRAUD: Ante/Intra/Post-partum 11. ANSWER: 2 Chapter: Chapter 16 Discharge Planning and Teaching Chapter Learning Objective: 8. Provide parents with information regarding newborn care that reflects the assessed learning needs of parents. 496 Heading: Newborn Care Kangaroo Care Integrated Processes: Nursing Process Client Need: Physiological Integrity: Physiological Adaptation Cognitive Level: Applying [Applying] Fraudcept: Ante/Intra/Post-partum
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partum Difficulty: Hard Response 1 This is incorrect. Early maternal death is not an example of maternal death. Examples of maternal death include late maternal death, indirect obstetric death, direct obstetric death, and pregnancy -related death. 2 This is incorrect. Late maternal death occurs 42 days after termination of pregnancy from a direct or indirect obstetric cause. 3 This is incorrect. Direct obstetric death results from complications during pregnancy, labor, birth, and/or postpartum period. 4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a disease that develops during pregnancy. PTS: 1 FRAUD : Ante/Intra/Post -partum 3. The nur se is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed fraud cern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health fraud ditions. The infant is healthy and was delivered full -term. What will be most helpful t hing to explain to the patient? 1. Uses of extracorporeal membrane oxygenation therapy (ECMO) 2. Uses of exogenous pulmonary surfactant 3. The Baby -Friendly Hospital Initiative 4. The Safe to Sleep campaign ANSWER: 4 Chapter: Chapter 1 Trends and Issues Chapter Learning Objective: 3. Identify leading causes of infant death. 7 Heading: Trends > Infant Mortality Rates Integrated Processes: Nursing process Client Need: Safe and Effective Care Environment: Safety and Infection Fraud trol Cognitive Level: A pplication [Applying] Fraud cept: Health Promotion Difficulty: Moderate Response 1 This is incorrect. EMCO has been cited as one of the factors that has reduced infant mortality among preterm infants.
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