During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?

Correct Answer: A

Rationale: A major task of the formal stage of role attainment is getting acquainted with the infant. The informal stage begins once the parents have learned appropriate responses to their infant's cues. The personal stage is attained when parents feel a sense of harmony in their role. The anticipatory stage begins during the pregnancy when the parents choose a physician and attend childbirth classes.

Correct Answer: B

Rationale: The most appropriate nursing measure to prevent thrombophlebitis in the recovery period following a cesarean birth is option B) Assist the patient in performing leg exercises every 2 hours. Performing leg exercises helps promote circulation and prevents blood stasis, which is crucial in reducing the risk of thrombophlebitis. This intervention aids in maintaining venous return, preventing the formation of blood clots, and promoting overall vascular health. Additionally, leg exercises help prevent muscle atrophy and improve the patient's mobility and comfort during the recovery period. Options A, C, and D are incorrect for preventing thrombophlebitis. Limiting oral intake of fluids for the first 24 hours (Option A) does not directly address the risk of thrombophlebitis and may lead to dehydration, which can actually increase the risk of clot formation. While ambulating the patient (Option C) is important for preventing complications post-cesarean, it may not be as effective in preventing thrombophlebitis as targeted leg exercises. Rolling a bath blanket behind the patient's knees (Option D) may provide comfort but does not address the underlying issue of promoting circulation and preventing clot formation in the same way that leg exercises do. In an educational context, it is crucial for nursing students to understand the rationale behind preventive measures for postoperative complications like thrombophlebitis. By grasping the importance of interventions such as leg exercises, students can provide evidence-based care to promote optimal patient outcomes and prevent potentially serious complications.

Correct Answer: C

Rationale: The correct answer is C because prostaglandin analogs can be administered intramuscularly to stop uterine bleeding in this scenario. Oxytocin may be considered, but it is not administered in a piggyback solution. Methylergonovine is contraindicated in the presence of hypertension, which the patient has. Increasing parenteral fluids will not directly address the uterine bleeding issue.

Correct Answer: A

Rationale: In the context of pediatric respiratory distress, understanding the use of methylergonovine (Methergine) is crucial for nurses. Methylergonovine is a medication primarily used to manage postpartum hemorrhage by stimulating uterine contractions, thereby improving uterine tone. Therefore, the correct answer is A) uterine tone. Option B) pain level is incorrect because methylergonovine is not used to assess or manage pain. Option C) blood pressure is incorrect as monitoring blood pressure is not the primary purpose of administering methylergonovine. Option D) last voiding is also incorrect as it is unrelated to the desired response of this medication. In an educational context, nurses must be knowledgeable about the actions and expected outcomes of medications they administer. Understanding the specific effects of methylergonovine, such as assessing uterine tone, is essential to ensure safe and effective patient care. By selecting the correct answer, nurses can monitor and evaluate the therapeutic response of the medication accurately, promoting positive patient outcomes in scenarios where methylergonovine is utilized.

Correct Answer: B

Rationale: In understanding the nursing interventions for pediatric respiratory distress, it is crucial to comprehend the mechanisms of heat loss in newborns, as they are particularly vulnerable to temperature regulation issues. When a newborn is placed on a cold scale or touched with cold hands, heat loss occurs primarily through conduction. Conduction is the direct transfer of heat from one object to another when they come into contact. In this scenario, the cold surface of the scale or the cold hands of the caregiver directly draw heat away from the newborn's body, leading to potential heat loss and subsequent risk of hypothermia. The other options, radiation, convection, and evaporation, are not the primary mechanisms at play in this specific situation. Radiation refers to the transfer of heat through electromagnetic waves and would not be the dominant factor in direct contact with a cold surface. Convection involves the transfer of heat through air or fluid movement, which is not the case here. Evaporation pertains to the loss of heat through the conversion of a liquid to a gas, such as sweating, and is not applicable in the given context. Educationally, understanding how different modes of heat loss impact newborns is essential for nurses caring for pediatric patients, especially those at risk for respiratory distress. By recognizing the significance of conduction in situations of direct contact with cold surfaces, healthcare providers can implement targeted interventions to maintain the infant's thermal stability and overall well-being.