A home health nurse is caring for a newborn.
Click to highlight the findings that require further intervention. To deselect a finding, clock on the finding again.
The Correct Answer is ["<p>Follow-up newborn weight check. <strong>Parent is smoking a cigarette in the living room while the infant sleeps. Parent reports the newborn is breastfeeding well<\/strong>. The newborn is asleep in their bassinet in the living room.<strong> Newborn currently asleep in prone position. Parent reports that the newborn sleeps in their bassinet in the parents’ bedroom overnight.<\/strong><\/p>"]
Nurses’ Notes:
3 weeks old:
Follow-up newborn weight check. Parent is smoking a cigarette in the living room while the infant sleeps. Parent reports the newborn is breastfeeding well. The newborn is asleep in their bassinet in the living room. Newborn currently asleep in prone position. Parent reports that the newborn sleeps in their bassinet in the parents’ bedroom overnight.
Vital Signs:
3 weeks old:
Temperature: 36.9°C (98.4°F) Heart rate: 138/min Respiratory rate: 42/min
The two findings from the nurse's notes that require further intervention:
Parent Smoking in Presence of Newborn and Newborn Asleep in Prone Position
Parent is smoking a cigarette in the living room while the infant sleeps.: Exposure to secondhand smoke is particularly harmful to infants, as their lungs are still developing. It can lead to severe health problems such as breathing difficulties, bad colds, respiratory issues, and delayed physical and mental development. More critically, it increases the risk of sudden infant death syndrome (SIDS). Therefore, it is imperative to educate the parent about the dangers of smoking around the newborn and to ensure that the infant is kept in a smoke-free environment.
Newborn currently asleep in prone position.: The safest sleeping position for a newborn is on their back, as recommended by the American Academy of Pediatrics (AAP). This position has been shown to reduce the incidence of SIDS. Sleeping in a prone position (on the stomach) can lead to less oxygen and more carbon dioxide re-breathing, which can be dangerous for the infant. The nurse should advise the parent to always place the newborn on their back to sleep, for naps and at night, to minimize the risk of SIDS.
The vital signs provided do not indicate any immediate concerns, as the temperature, heart rate, and respiratory rate are within normal ranges for a 3-week-old infant. However, the environmental factors noted in the nurse's observations are significant and require prompt attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Veracity refers to the obligation to tell the truth and would not be the primary ethical principle demonstrated in this scenario.
Choice B reason: Nonmaleficence means to do no harm, which is an important principle but not the focus of the nurse's response in this context.
Choice C reason: Beneficence involves actions that promote the well-being of others. While the nurse's support could be seen as beneficent, it is not the principle that best describes the nurse's response.
Choice D reason: Autonomy is the principle that respects the patient's right to make their own decisions. The nurse's response supports the client's autonomy in making healthcare decisions.
Correct Answer is B
Explanation
Choice A reason: Manifestations of anthrax infection can vary in time of appearance, and while some symptoms may appear within 3 days, others may take longer.
Choice B reason: Ciprofloxacin is recommended for post-exposure prophylaxis in asymptomatic individuals who have been exposed to inhalation anthrax to prevent the development of the disease.
Choice C reason: The anthrax vaccine is used for pre-exposure prophylaxis and is not typically used after direct exposure as an emergency response.
Choice D reason: Prophylactic treatment duration for anthrax exposure is typically 60 days to ensure all spores have been eradicated, not just 10 days.
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