Which of the following behaviors would be applicable to a nursing diagnosis of Risk for Impaired Parenting?

Correct Answer: C

Rationale: Excessive fatigue can impact the level of interaction between parent and child, leading to impaired parenting. En face behavior and feeling exhilarated post-birth are normal aspects of parental adaptation. Finger tipping behavior indicates a sense of identification or claiming behavior, which is not necessarily indicative of impaired parenting. Therefore, the correct answer is C.

Correct Answer: B

Rationale: The correct answer is B because an abnormal odor of the lochia indicates a uterine infection in a postpartum patient. This is an early and specific sign of infection compared to assessing other areas such as the episiotomy site, abdomen, or vital signs. Monitoring the odor of the lochia can help in early detection and appropriate management of uterine infections in postpartum patients.

Correct Answer: B

Rationale: In pediatric respiratory disorders, methylergonovine (Methergine) is not a commonly used medication. However, understanding the rationale behind checking blood pressure before administering it is crucial in nursing care. Methylergonovine is a medication primarily used to prevent or control excessive bleeding after childbirth. One of its potential side effects is hypertension, which can lead to severe complications if not monitored closely. Checking the blood pressure before giving methylergonovine is crucial to ensure that the patient's blood pressure is within the safe range. If the blood pressure is already elevated, administering methylergonovine could further exacerbate this condition, putting the patient at risk for adverse effects such as hypertensive crisis or stroke. Therefore, monitoring blood pressure allows the nurse to make an informed decision about the safety of administering the medication. The other options - color of the lochia, location of the fundus, and last administration of analgesics - are not directly related to the administration of methylergonovine. While monitoring lochia color and fundal height are essential postpartum assessments, they are not specifically relevant to the administration of this medication. Similarly, the timing of analgesic administration is important for pain management but does not impact the safety or effectiveness of methylergonovine. In an educational context, understanding the rationale behind checking blood pressure before administering medications is a fundamental nursing skill. It demonstrates the importance of thorough assessment and critical thinking in ensuring patient safety. By grasping the specific considerations for each medication, nurses can provide optimal care and prevent potential complications. This knowledge is essential for nursing students to develop their clinical judgment and decision-making abilities in various patient care scenarios.

Correct Answer: B

Rationale: The correct answer is B) Lungs and liver. During fetal life, the lungs are nonfunctional because gas exchange occurs through the placenta, bypassing the need for lung function. The liver is also nonfunctional in the sense that the fetal circulation bypasses it through the ductus venosus and the umbilical vein, which deliver oxygenated blood directly to the inferior vena cava. Option A) Eyes and ears are functional during fetal life as they play important roles in sensory perception and development. Option C) Kidneys and adrenals are also functional in the fetus, responsible for urine production and endocrine functions. Option D) Gastrointestinal system is essential for nutrient absorption and waste elimination even in fetal life. Understanding the nonfunctionality of the lungs and liver in fetal life is crucial for nurses caring for pediatric patients with respiratory disorders. This knowledge helps in understanding the unique challenges and considerations when providing care for pediatric patients with respiratory issues, such as the importance of supporting oxygenation and ventilation in neonates and infants.

Correct Answer: D

Rationale: Placing the newborn in a radiant warmer without attaching the skin probe can result in hyperthermia because the temperature regulation mechanism may not function properly, leading to overheating. Proper monitoring and use of equipment are essential to prevent hyperthermia in newborns. The other options, such as placing a cap on the newborn, wrapping the newborn in a warm blanket, or placing the newborn in a skin-to-skin position with the mother, do not typically result in hyperthermia if done correctly.