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 A

Explanation

A. Profound cyanosis is a key sign of tricuspid atresia, a congenital heart defect where the tricuspid valve is absent, leading to poor oxygenation of the blood.

B. Periorbital edema is not typically associated with tricuspid atresia; it might be seen in other conditions like nephrotic syndrome.

C. Absent femoral pulses suggest coarctation of the aorta rather than tricuspid atresia.

D. Decreased blood pressure in the lower extremities is also more indicative of coarctation of the aorta, not tricuspid atresia.

A. A child who is recovering from nasopharyngitis B. A child who has nephrotic syndrome C. A child who has gastroenteritis D. A child who has rheumatic fever

Correct Answer is B

Explanation

A. A child recovering from nasopharyngitis could still be contagious, and since children with leukemia have compromised immune systems, they are at higher risk of infections.

B. A child with nephrotic syndrome, although potentially needing special care, does not pose the same infection risk as a child recovering from an infectious disease. Therefore, they are a more suitable roommate for a child with leukemia.

C. A child with gastroenteritis may still be infectious and could expose the child with leukemia to gastrointestinal pathogens.

D. A child with rheumatic fever does not have a contagious illness, but the specific needs of the child with leukemia and the potential for complications from infections make it less ideal compared to a non-infectious condition like nephrotic syndrome.

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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

A nurse is caring for a newborn who was recently delivered. Which of the following clinical signs would cause the nurse to suspect tricuspid atresia?

Correct Answer is A

Explanation

A nurse is admitting a pediatric client to the unit who has leukemia. Which client should the nurse place in the same room with this child?

Correct Answer is B

Explanation

A 4-year-old client presents to the emergency department with drooling, agitation, and inability to cough. The nurse should recognize these findings are associated with which diagnosis?

A nurse is providing teaching to the parents of a toddler who has iron-deficiency anemia and is taking iron supplements. Which statement by the parents indicates an understanding of the teaching?

A clinic nurse is caring for a 4-year-old client with acute diarrhea and mild dehydration who is afebrile, active, and alert. The nurse is providing instructions to the parent. Which statement by the parent indicates understanding?

While assessing a preadolescent client, the nurse notes curvature of the client's spine. Which statement by the parent supports this observation?

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?

A newborn has been admitted to the intensive care unit with a diagnosis of myelomeningocele. The nurse could expect which of the following with the disorder?