A nurse in a clinic is caring for a client who is antepartum. The client expresses concern about preparing their preschooler for a new sibling. Which of the following responses should the nurse make?
"Plan to spend individual time with your preschooler."
"Move your preschooler from their crib to a bed the day before the baby comes home."
"Ensure that your preschooler sees you holding the baby during the initial encounter"
"Avoid bringing your preschooler to prenatal visits."
The Correct Answer is A
A. Spending individual time with the preschooler helps reduce feelings of jealousy and promotes security during the transition.
B. Moving the child too close to the arrival of the new baby can increase stress; it’s better to make such changes well in advance.
C. The preschooler might feel excluded or jealous if they see the parent holding the baby first; it is better to prepare them beforehand.
D. Including the preschooler in prenatal visits can help them feel involved and less anxious about the new sibling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Changing a perineal pad only every 4 hours may indicate excessive bleeding or hemorrhage, which requires immediate assessment.
B. A urine output of 750 mL in 6 hours is within normal limits (about 125 mL/hr).
C. 1+ deep tendon reflexes indicate decreased reflexes, which is expected during magnesium sulfate therapy and generally not an immediate concern.
D. Abdominal cramping during breastfeeding is common due to uterine contractions and is usually not urgent.
Correct Answer is B
Explanation
A. While bilirubin levels are important, the immediate concern for a large-for-gestational-age (LGA) newborn is hypoglycemia.
B. LGA newborns are at increased risk for hypoglycemia, so monitoring blood glucose levels is essential.
C. Arterial blood gases are not routinely indicated unless respiratory distress is present.
D. WBC count is not specifically related to LGA status.
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