The mother asks about dental care for her child. She says that she helps brush the child's teeth daily. Which of the following responses by the nurse would be most appropriate?

Correct Answer: D

Rationale: The most appropriate response would be option D: "A dental check-up is a good idea, even if no noticeable problems are present." This response is correct because regular dental check-ups are essential for monitoring oral health, even if the child's teeth appear healthy. It promotes preventive care and early detection of any potential issues. Option A is incorrect because it dismisses the importance of regular dental check-ups regardless of daily oral care practices. Option B is incorrect as it implies a missed opportunity for dental appointments, which can discourage the parent from seeking care now. Option C is incorrect as it sets a delayed timeline for dental visits based on school entry rather than emphasizing the importance of early dental care. In an educational context, it is vital for nurses to educate parents about the significance of routine dental visits for children's overall health. By explaining the rationale behind regular dental check-ups, nurses can empower parents to prioritize preventive dental care for their child from an early age, leading to better oral health outcomes in the long run.

Correct Answer: D

Rationale: For the first 3 days after childbirth, lochia is termed rubra. Lochia serosa follows, and then at about 11 days, the discharge becomes clear, colorless, or white. The body rids itself of increased plasma volume. Urine output of 3000 mL/day is common for the first few days after birth and is facilitated by hormonal changes in the mother. Bowel tone remains sluggish for days. Many women anticipate pain during defecation and are unwilling to exert pressure on the perineum. The new mother is hungry because of energy used in labor and thirsty because of fluid restrictions during labor.

Correct Answer: D

Rationale: Potential risks to the fetus can occur if pregnancy results within 3 months after rubella vaccine administration. The mother does need to understand potential side effects and that pregnancy is discouraged for 3 months. The mother should be afebrile before the vaccine. Small amounts of the vaccine do cross the breast milk, but it is believed that there is no need to discontinue breastfeeding.

Correct Answer: D

Rationale: In the context of pediatric respiratory distress nursing interventions, the assessment finding 24 hours after vaginal birth that would indicate a need for further intervention is a uterine fundus 2 cm above the umbilicus (Option D). This finding suggests uterine atony, which can lead to postpartum hemorrhage, a potentially life-threatening condition. A) Pain level 5 on a scale of 0 to 10 is subjective and can vary among individuals, not necessarily indicative of a need for further intervention in this specific context. B) A saturated pad over a 2-hour period could indicate excessive postpartum bleeding, but it is not directly related to respiratory distress in the pediatric population. C) Urinary output of 500 mL in one voiding is within the normal range for postpartum diuresis and does not specifically address pediatric respiratory distress. Educationally, it is crucial for nurses to understand the importance of assessing postpartum women for signs of complications, including uterine atony, to intervene promptly and prevent serious consequences like hemorrhage. This scenario highlights the need for thorough assessment skills and knowledge of postpartum complications in pediatric nursing practice.

Correct Answer: A

Rationale: The correct answer is A because an increase in WBC count to 25,000/mm3 during the postpartum period is considered normal and not a sign of infection. Therefore, the nurse should simply document the finding. There is no need to inform the health care provider, initiate antibiotic therapy, or request a reanalysis of blood samples in this case.