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Question 1 of 5

A postpartum mother is unwilling to allow the father to participate in the newborn's care, although he is interested in doing so. She states, 'I am afraid the baby will be confused about who the mother is. Baby raising is for mothers, not fathers.' The nurse's initial intervention should be what focus?

Correct Answer: B

Rationale: Set time aside to get the mother to express her feelings and concerns. This facilitates understanding and resolution of her concerns.

Question 2 of 5

Which of the following nursing assessments for an infant is most valuable in identifying serious visual defects?

Correct Answer: A

Rationale: Red reflex test. A uniform red reflex rules out most serious defects of the cornea, lens, and vitreous chamber.

Question 3 of 5

A 74 year-old male is admitted due to inability to void. He has a history of an enlarged prostate and has not voided in 14 hours. When assessing for bladder distension, the best method for the nurse to use is to assess for

Correct Answer: C

Rationale: Rounded swelling above the pubis. Swelling above the pubis is representative of a distended bladder in the male client.

Question 4 of 5

The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should consider the assignments appropriate if the nursing assistant is assigned to care for

Correct Answer: A

Rationale: Nursing assistants handle standard, unchanging procedures like feeding a stable Alzheimer’s client. Burning on urination (
B) requires RN assessment, tube feeding (
C) is for LPNs, and Cheyne-Stokes respirations (
D) indicate an unstable patient needing RN care.

Question 5 of 5

Which is an expected finding in the normal newborn?

Correct Answer: B

Rationale: Acrocyanosis (bluish extremities) is normal in newborns due to immature circulation. Undescended testicles, absent sucking pads, and retractions are abnormal.

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