What nursing diagnosis would be appropriate for the person with a coagulation disorder?

Correct Answer: B

Rationale: The correct answer is B: risk for fluid overload. A person with a coagulation disorder is at risk for excessive bleeding, which may lead to fluid overload due to blood loss and subsequent fluid replacement. This nursing diagnosis addresses the potential complications related to fluid imbalance in this population. Incorrect choices: A: risk for bleeding - While bleeding is a concern for someone with a coagulation disorder, this choice does not address the potential fluid overload that may result from excessive bleeding. C: risk for breast-feeding failure - This choice is not relevant to the immediate health concerns of a person with a coagulation disorder. D: risk for hypertension - Hypertension is not directly related to a coagulation disorder, therefore this choice is not appropriate as a nursing diagnosis in this context.

Correct Answer: C

Rationale: The correct answer is C because skin-to-skin contact promotes bonding, regulates the baby's temperature, and encourages breastfeeding. This guidance is crucial for newborns in the NICU to establish a strong connection with their caregiver and support breastfeeding. Choice A is incorrect as breast milk is highly beneficial for premature babies. Choice B is incorrect because premature babies may struggle with breastfeeding due to their developmental stage. Choice D is incorrect as bottles are not recommended for all feedings, especially for premature infants who may have difficulty latching and feeding effectively.

Correct Answer: A

Rationale: The correct answer is A: Scrub the incision well twice daily. This is the correct answer because it emphasizes proper hygiene to prevent infection without causing harm to the incision site. Cleaning the incision twice daily helps to keep it clean and reduce the risk of infection. B: Removing the dressing the day after birth is incorrect as it may disrupt the healing process and increase the risk of infection. C: Staples being removed the day after birth is incorrect because staple removal timing varies depending on individual healing progress and is typically done by a healthcare provider. D: Vertical incisions healing faster with less pain is incorrect as healing time and pain tolerance vary among individuals and are not solely determined by the incision type.

Correct Answer: C

Rationale: The correct answer is C: traumatic birth. Traumatic birth can lead to postpartum depression (PPD) due to the physical and emotional stress experienced during labor and delivery. This can trigger feelings of anxiety, helplessness, and trauma that contribute to the development of PPD. Vaginal birth (choice A) and breast-feeding (choice D) are not inherently risk factors for PPD. Family support (choice B) is typically considered a protective factor against PPD, providing emotional and practical assistance for new mothers.

Correct Answer: A

Rationale: The correct answer is A: Baby blues last longer than 14 days. Baby blues typically resolve within 1-2 weeks postpartum. If symptoms persist for more than 14 days, it may indicate postpartum depression (PPD). Choice B is incorrect as hallucinations are not a common symptom of baby blues. Choice C is incorrect because baby blues can occur within the first few weeks postpartum, not just the first few days. Choice D is incorrect because baby blues are usually managed with support, counseling, and self-care, not inpatient therapy.