A mother inquires about what to use when changing her newborn’s diaper. What should the nurse recommend to this mother?

Corn starch powder.

Clear water.

Talcum powder.

Baby lotion.

Answer and Explanation

The Correct Answer is B

Choice B rationale

When changing a newborn’s diaper, it is recommended to use clear water for cleaning. This is because newborns have sensitive skin, and clear water is gentle and unlikely to cause irritation.

Choice A rationale

Corn starch powder is not typically recommended for use in diaper changes. While it can help absorb moisture, it can also create a paste with the stool that is difficult to clean and can potentially cause skin irritation.

Choice C rationale

Talcum powder is not recommended for use in diaper changes. It can cause respiratory problems if inhaled by the baby.

Choice D rationale

While baby lotion can be used to moisturize a baby’s skin, it is not typically used during diaper changes. It does not have the same cleaning properties as water and can leave a residue on the skin.

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Correct Answer is A

Explanation

Choice A rationale

A client who is 3 weeks postpartum and feeling tired all the time is a common scenario. Adjusting to a new baby can be challenging and it’s normal for new mothers to feel overwhelmed and fatigued. The nurse’s response should be empathetic and supportive,

encouraging the client to share more about her situation. This could help the nurse understand the client’s support system and provide appropriate advice or resources.

Choice B rationale

While it’s important to ensure that the client isn’t overexerting herself with chores, suggesting that she shouldn’t be doing any at all might not be practical or feasible. The presence and involvement of family members can vary greatly, and while their help can be beneficial, it’s not the only factor in managing postpartum fatigue.

Choice C rationale

It’s indeed common for new mothers to feel worn out for the first few months. However, simply advising the client to rest when the baby is sleeping might not address the root cause of her fatigue. It’s also important to consider other factors such as nutrition, emotional well- being, and available support.

Choice D rationale

Telling the client that it’s normal to feel fatigued for the first few weeks might minimize her feelings. Each person’s postpartum experience is unique, and it’s crucial to validate her feelings and provide individualized care.

A. Measure vital signs. B. Obtain human chorionic gonadotropin levels. C. Collect urine sample for urinalysis. D. Recommend bed rest.

Correct Answer is B

Explanation

Choice A rationale

While measuring vital signs is important, it is not the most appropriate action based on the given symptoms.

Choice B rationale

Obtaining human chorionic gonadotropin levels is the most appropriate action. The symptoms described by the client could indicate a possible miscarriage or ectopic pregnancy, and hCG levels can help confirm this.

Choice C rationale

Collecting a urine sample for urinalysis is not the most appropriate action based on the given symptoms.

Choice D rationale

Recommending bed rest is not the most appropriate action based on the given symptoms.

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A mother inquires about what to use when changing her newborn’s diaper. What should the nurse recommend to this mother?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is 3 weeks postpartum tells the nurse, “I am so tired all the time. I didn’t realize having a baby would be this challenging.”. What should the nurse’s response be?

Correct Answer is A

Explanation

The nurse is caring for a client who is 10-weeks gestation and palpates the fundus at 2 fingerbreadths above the pubic symphysis.The client reports nausea, vomiting, and scant dark brown vaginal discharge. Which action should the nurse take?

Correct Answer is B

Explanation

One day after vaginal delivery of a full-term baby, a postpartum client’s white blood cell count is 15,000/mm (15 x 109/L). What action should the nurse take first?

A client who is anovulatory and has hyperprolactinemia is undergoing infertility treatment with metformin, menotropins, and human chorionic gonadotropin.What side effect should the nurse instruct the client to report immediately?

What should be the primary focus of nursing care in the transitional phase of labor for a client who anticipates an unmedicated delivery?

A client who is scheduled for induction of labor receives a prescription for oxytocin 2 milliunits/min intravenously (IV). The IV bag contains oxytocin 20 units in lactated Ringer’s 1 liter. How many mL/hour should the nurse program the infusion pump to deliver? .

A 25-year-old client experienced a severe postpartum hemorrhage following the vaginal birth of twins and is now transferred to the postpartum unit.What complication should the nurse prioritize during the client’s assessment?

The nurse observes on the fetal monitor that a laboring client has a variable deceleration. What action should the nurse implement first?

A client who is at 10-weeks gestation calls the clinic because she has been vomiting for the past 24 hours. The nurse determines that the client has no fever.What instruction should the nurse give to this client?