The mother of a 10-year-old boy expresses concern that he is overweight. When developing a plan of care with the mother, Nurse Katrina should encourage her to...

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Include the child in meal planning and preparation. This option promotes a collaborative approach between the mother and child in making healthier food choices. By involving the child in meal planning and preparation, he can learn about nutrition, develop a sense of ownership over his food choices, and cultivate lifelong healthy eating habits. Option A) Limit the child's between-meal snacks is incorrect because simply restricting snacks without addressing overall dietary habits and lifestyle changes may not be effective in promoting sustainable weight management. Option B) Prohibit the child from playing outside if he eats snacks is not appropriate as it punishes the child for eating snacks and discourages physical activity, which is essential for overall health. Option D) Limit the child's calorie intake to 1,200kCal/day is not suitable for a growing 10-year-old boy as it may lead to inadequate nutrition and hinder proper growth and development. In an educational context, it is crucial for nurses to empower families to make informed decisions regarding healthy lifestyle changes rather than enforcing strict rules. By involving children in meal planning, they can develop a positive relationship with food and take an active role in fostering their own well-being.

Correct Answer: B

Rationale: For some women, ovulation resumes as early as 3 weeks postpartum. Therefore contraceptive measures are important considerations when sexual relations are resumed for lactating and nonlactating women. Further teaching would be needed if the patient does not feel any need for birth control with breastfeeding and supplementing with formula. The first stool usually occurs within 2 to 3 days postpartum. Normal patterns of bowel elimination generally resume by 8 to 14 days after birth.

Correct Answer: B

Rationale: Reciprocal attachment behavior, as described in option B, refers to the positive feedback that an infant gives to their parents during the attachment process. This behavior signifies a mutual and interactive relationship between the infant and the caregiver, where the infant responds to the parent's interactions with expressions of affection, such as smiling, cooing, or seeking closeness. This reciprocal exchange fosters a secure attachment bond, which is essential for the infant's emotional development and overall well-being. Option A is incorrect because it describes the quiet alert stage, which is a different concept related to infant behavior but not specifically reciprocal attachment behavior. Option C is incorrect as it oversimplifies the complex nature of attachment behaviors by implying that they are unidirectional and solely initiated by eye contact. Option D is incorrect as it inaccurately characterizes reciprocal attachment behavior as a means for infants to manipulate parental emotions rather than as a genuine emotional response within the attachment relationship. In an educational context, understanding reciprocal attachment behavior is crucial for pediatric nurses as they work with infants and their families. By recognizing and supporting the reciprocal interactions between infants and caregivers, nurses can promote healthy attachment development, which is foundational for the infant's social and emotional growth. This knowledge can guide nurses in providing family-centered care that strengthens the parent-infant relationship and promotes optimal child development.

Correct Answer: C

Rationale: Positive reinforcement of the mother's attempt to provide care to the newborn will promote a healthy self-concept. The mother needs encouragement during this vulnerable time, not criticism or false reassurance. By praising her efforts, the nurse can help boost the mother's confidence in her caregiving abilities.

Correct Answer: D

Rationale: In the context of subinvolution of the uterus, where the uterus fails to return to its normal size after childbirth, if nonsurgical treatments such as medications or interventions like antibiotics or uterine massage are ineffective, a surgical procedure like dilation and curettage (D&C) may be necessary. D&C involves scraping the uterine lining to remove any retained placental tissue, clots, or debris that may be causing the subinvolution. This procedure helps promote proper involution of the uterus. Option A, hysterectomy, involves the removal of the uterus entirely and is not typically indicated for subinvolution unless there are severe complications. Option B, laparoscopy, is a minimally invasive procedure used for diagnostic purposes or to perform certain surgeries, but it is not the primary choice for addressing subinvolution. Option C, laparotomy, involves a larger abdominal incision and is usually reserved for more complex cases, not for subinvolution. Educationally, it is important for nursing students preparing for the NCLEX to understand the various treatment options for postpartum complications like subinvolution. Knowing when surgical interventions are necessary and the appropriate procedures for specific conditions is crucial for providing safe and effective care to postpartum patients. Understanding the rationale behind each treatment option helps nurses make informed decisions and advocate for their patients' health and well-being.