A first-time parent is pending discharge from the hospital with a well-newborn. What information should the nurse include in the discharge teaching to the parents?

"Expect to wake your baby for all feedings."

"Your baby will not need additional immunizations until the 1 or 2 month check-ups."

"Your baby should gain full head control by 1 month."

"Expect your baby to triple their birth weight by 4-6 months."

Answer and Explanation

The Correct Answer is B

A. While newborns need to feed frequently, particularly breastfed infants, parents do not need to wake their baby for every feeding unless advised by their healthcare provider due to specific concerns like low birth weight.

B. After birth, the newborn receives initial vaccinations, such as the hepatitis B vaccine. The next set of vaccinations is typically administered at the 1 or 2-month check-up, so no additional immunizations are needed immediately after discharge.

C. Full head control is generally achieved by around 4 months of age, not 1 month.

D. Babies typically triple their birth weight by around 12 months of age, not by 4-6 months.

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Correct Answer is D

Explanation

A. Prone positioning is not recommended post-operatively for abdominal surgery and could exacerbate respiratory issues.

B. While monitoring white blood cell count is important, encouraging lung expansion and preventing complications such as atelectasis is a more immediate priority.

C. The client's pain rating is low and does not necessitate immediate administration of acetaminophen.

D. Encouraging the use of an incentive spirometer helps improve lung expansion, which is crucial to prevent atelectasis and promote proper oxygenation, particularly when breath sounds are diminished.

A. “I've wondered why my child won't let me in the room when changing clothes." B. "My child has such a hard time finding pants that fit right. They never seem to fit evenly over the hips." C. "My child has been reporting back pain for the last 2 or 3 months." D. "My child has been taking ibuprofen daily for the last few weeks because of hip pain after walking so much at school."

Correct Answer is B

Explanation

A. The child’s reluctance to change clothes in front of others might suggest body image issues, but it doesn’t directly indicate spinal curvature.

B. Difficulty finding pants that fit evenly over the hips could indicate a scoliosis-related curvature, where one hip may be higher than the other.

C. Back pain could be related to various conditions, including scoliosis, but by itself, it’s not definitive for spinal curvature.

D. Daily use of ibuprofen for hip pain may indicate musculoskeletal issues but doesn’t directly relate to spinal curvature or scoliosis.

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A first-time parent is pending discharge from the hospital with a well-newborn. What information should the nurse include in the discharge teaching to the parents?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

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Correct Answer is B

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