The nurse observes that a new mother avoids making eye contact with her newborn. The nurse should perform which action?

Correct Answer: B

Rationale: The nurse should assess for other attachment behaviors when a new mother avoids making eye contact with her newborn. This behavior may indicate difficulty forming an emotional bond with the newborn, which can impact the mother-infant relationship. By assessing for other attachment behaviors, the nurse can gather more information to understand the mother's response and provide appropriate support and interventions. Simply recognizing this as a common reaction or asking the mother why she won't look at the newborn may not address the underlying attachment issues that may be present. Examining the newborn's eyes for ability to focus is not relevant in this situation and does not address the mother's behavior.

Correct Answer: C

Rationale: The elevated respiratory rate is concerning since normal for a 3- to 6-year-old is about 20-30 breaths per minute.

Correct Answer: C

Rationale: Ribavirin (Virazole) is an antiviral medication used to treat severe cases of respiratory syncytial virus (RSV) infection in infants, young children, and immunocompromised individuals. RSV is a common virus that causes respiratory infections in people of all ages, but it can be particularly severe in young children and individuals with weakened immune systems. Ribavirin works by preventing the virus from replicating and spreading further in the body, helping to reduce the severity and duration of RSV infection. It is not used to treat cystic fibrosis, otitis media, or bronchitis.

Correct Answer: C

Rationale: Lung involvement, while serious, is less lethal compared to liver, spleen, or hematopoietic system involvement.

Correct Answer: D

Rationale: Kasabach-Merritt syndrome is not typically associated with hemangiomas.