Page 721 - Saunders Comprehensive Review For NCLEX-RN

Reference: Lowdermilk et al. (2016), p. 161.

215. Answer: 1

Rationale: A support group can help the parents work through their pain by
nonjudgmental sharing of feelings. The correct option identifies a statement that
indicates positive, normal grieving. Although the other options may indicate
reactions of the client and significant other, they are not specifically a part of the
normal grieving process.
Test-Taking Strategy: Read all options carefully before selecting an answer and
focus on the subject, the normal grieving process. Note that options 2, 3, and 4 are
comparable or alike in that they relate to childbearing.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Caring
Content Area: Maternity: Postpartum
Health Problem: Maternity: Fetal distress/Demise
Priority Concepts: Coping; Family Dynamics
Reference: Lowdermilk et al. (2016), p. 918-919.

216. Answer: 4

Rationale: Hepatitis B virus is highly contagious and is transmitted by direct
contact with blood and body fluids of infected persons. The rationale for identifying
childbearing clients with this disease is to provide adequate protection of the fetus
and the newborn, to minimize transmission to other individuals, and to reduce
maternal complications. The correct option provides the best evaluation of maternal
understanding of disease transmission. Option 1 will not affect disease transmission
since hepatitis B does not spread through airborne transmission. Options 2 and 3 are
appropriate feeding techniques for bottle-feeding but do not minimize disease
transmission for hepatitis B.
Test-Taking Strategy: Note the strategic word, best. Focus on the subject, disease
transmission to the newborn. This focus will direct you to the correct option.
Level of Cognitive Ability: Evaluating
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Evaluation
Content Area: Maternity: Postpartum
Health Problem: Maternity: Infections/Inflammations
Priority Concepts: Client Education; Infection
Reference: McKinney et al. (2018), p. 567.

217. Answer: 2

Rationale: Strict bed rest throughout the remainder of the pregnancy is not
required for a threatened abortion. The client should watch for the evidence of the
passage of tissue. The client is instructed to count the number of perineal pads used
daily and to note the quantity and color of blood on the pad. The client is advised to

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