Test Bank - Abrams’ Clinical Drug Therapy:
Rationales for Nursing Practice, 12th Edition
(Frandsen, 2025) ,Latest edition
An expectant father tells the nurse he fears that his wife is "losing her mind."
He states that she is constantly rubbing her abdomen and talking to the baby
and that she actually reprimands the baby when it moves too much. Which
recommendation should the nurse make to this expectant father?
A.Suggest that his wife seek professional counseling to deal with her
symptoms.
B.Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D.Reassure him that normal maternal-fetal bonding is occurring. - answer-D)
Reassure him that normal maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and do not reflect
ambivalence. No intervention is needed. Quickening, the first perception of
fetal movement, occurs at 17 to 20 weeks of gestation and begins a new phase
,of prenatal bonding during the second trimester. Options A and C are not
necessary because the behaviors displayed are normal.
A mother who is breastfeeding her baby receives instructions from the nurse.
Which instruction is most effective in preventing nipple soreness?
A.Wear a cotton bra with nonbinding support.
B.Increase nursing time gradually over several days.
C.Ensure that the baby is positioned correctly for latching on.
D.Manually express a small amount of milk before nursing. - answer-C.Ensure
that the baby is positioned correctly for latching on.
Rationale: The most common cause of nipple soreness is incorrect positioning
of the infant on the breast for latching on. The baby's body is in alignment with
the ears, shoulders, and hips in a straight line, with the nose, cheeks, and chin
touching the breast. Option A helps prevent chafing, and nonbinding support
aids in prevention of discomfort from the stretching of the Cooper ligament.
Option B is important but is not necessary for all women. Option D helps
soften an engorged breast and encourages correct infant latching on but is not
the best answer.
A new mother asks the nurse, "How do I know that my daughter is getting
enough breast milk?" Which explanation is appropriate?
,A."Weigh the baby daily, and if she is gaining weight, she is getting enough to
eat."
B."Your milk is sufficient if the baby is voiding pale, straw-colored urine six to
ten times a day."
C."Offer the baby extra bottled milk after her feeding and see if she still seems
hungry."
D."If you're concerned, you might consider bottle feeding so that you can
monitor intake." - answer-B."Your milk is sufficient if the baby is voiding pale,
straw-colored urine six to ten times a day."
Rationale: The nurse should immediately turn the client to a lateral position or
place a pillow or wedge under one hip to deflect the uterus. Other immediate
interventions include increasing the rate of the main line IV infusion and
administering oxygen by facemask. If the blood pressure remains low after
these interventions or decreases further, the anesthesiologist or health care
provider should be notified immediately. To continue to monitor blood
pressure without taking further action could constitute malpractice. Option D
may also be warranted, but such action is based on hospital protocol.
The nurse is teaching a new mother about diet and breastfeeding. Which
instruction is most important to include in the teaching plan?
A.Avoid alcohol because it is excreted in breast milk.
, B.Eat a high-roughage diet to help prevent constipation.
C.Increase caloric intake by approximately 500 cal/day.
D.Increase fluid intake to at least 3 quarts each day. - answer-A.Avoid alcohol
because it is excreted in breast milk.
Rationale: Alcohol should be avoided while breastfeeding because it is
excreted in breast milk and may cause a variety of problems, including slower
growth and cognitive impairment for the infant. Options B, C, and D should
also be included in diet teaching for a breastfeeding mother; however, because
these do not involve safety of the infant, they do not have the same degree of
importance as option A.
A client at 28 weeks of gestation calls the antepartal clinic and states that she
has just experienced a small amount of vaginal bleeding, which she describes
as bright red. The bleeding has subsided. She further states that she is not
experiencing any uterine contractions or abdominal pain. What instruction
should the nurse provide?
A.Come to the clinic today for an ultrasound.
B.Go immediately to the emergency department.
C.Lie on your left side for about 1 hour and see if the bleeding stops.
Rationales for Nursing Practice, 12th Edition
(Frandsen, 2025) ,Latest edition
An expectant father tells the nurse he fears that his wife is "losing her mind."
He states that she is constantly rubbing her abdomen and talking to the baby
and that she actually reprimands the baby when it moves too much. Which
recommendation should the nurse make to this expectant father?
A.Suggest that his wife seek professional counseling to deal with her
symptoms.
B.Explain that his wife is exhibiting ambivalence about the pregnancy.
C. Ask him to report similar abnormal behaviors at the next prenatal visit.
D.Reassure him that normal maternal-fetal bonding is occurring. - answer-D)
Reassure him that normal maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and do not reflect
ambivalence. No intervention is needed. Quickening, the first perception of
fetal movement, occurs at 17 to 20 weeks of gestation and begins a new phase
,of prenatal bonding during the second trimester. Options A and C are not
necessary because the behaviors displayed are normal.
A mother who is breastfeeding her baby receives instructions from the nurse.
Which instruction is most effective in preventing nipple soreness?
A.Wear a cotton bra with nonbinding support.
B.Increase nursing time gradually over several days.
C.Ensure that the baby is positioned correctly for latching on.
D.Manually express a small amount of milk before nursing. - answer-C.Ensure
that the baby is positioned correctly for latching on.
Rationale: The most common cause of nipple soreness is incorrect positioning
of the infant on the breast for latching on. The baby's body is in alignment with
the ears, shoulders, and hips in a straight line, with the nose, cheeks, and chin
touching the breast. Option A helps prevent chafing, and nonbinding support
aids in prevention of discomfort from the stretching of the Cooper ligament.
Option B is important but is not necessary for all women. Option D helps
soften an engorged breast and encourages correct infant latching on but is not
the best answer.
A new mother asks the nurse, "How do I know that my daughter is getting
enough breast milk?" Which explanation is appropriate?
,A."Weigh the baby daily, and if she is gaining weight, she is getting enough to
eat."
B."Your milk is sufficient if the baby is voiding pale, straw-colored urine six to
ten times a day."
C."Offer the baby extra bottled milk after her feeding and see if she still seems
hungry."
D."If you're concerned, you might consider bottle feeding so that you can
monitor intake." - answer-B."Your milk is sufficient if the baby is voiding pale,
straw-colored urine six to ten times a day."
Rationale: The nurse should immediately turn the client to a lateral position or
place a pillow or wedge under one hip to deflect the uterus. Other immediate
interventions include increasing the rate of the main line IV infusion and
administering oxygen by facemask. If the blood pressure remains low after
these interventions or decreases further, the anesthesiologist or health care
provider should be notified immediately. To continue to monitor blood
pressure without taking further action could constitute malpractice. Option D
may also be warranted, but such action is based on hospital protocol.
The nurse is teaching a new mother about diet and breastfeeding. Which
instruction is most important to include in the teaching plan?
A.Avoid alcohol because it is excreted in breast milk.
, B.Eat a high-roughage diet to help prevent constipation.
C.Increase caloric intake by approximately 500 cal/day.
D.Increase fluid intake to at least 3 quarts each day. - answer-A.Avoid alcohol
because it is excreted in breast milk.
Rationale: Alcohol should be avoided while breastfeeding because it is
excreted in breast milk and may cause a variety of problems, including slower
growth and cognitive impairment for the infant. Options B, C, and D should
also be included in diet teaching for a breastfeeding mother; however, because
these do not involve safety of the infant, they do not have the same degree of
importance as option A.
A client at 28 weeks of gestation calls the antepartal clinic and states that she
has just experienced a small amount of vaginal bleeding, which she describes
as bright red. The bleeding has subsided. She further states that she is not
experiencing any uterine contractions or abdominal pain. What instruction
should the nurse provide?
A.Come to the clinic today for an ultrasound.
B.Go immediately to the emergency department.
C.Lie on your left side for about 1 hour and see if the bleeding stops.
