A nurse in a newborn nursery is receiving a change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?

A newborn who has a short frenulum and is having difficulty breastfeeding

A newborn who is 24 hr old and has not had a meconium stool

A newborn who is 30 hr old and has blood-tinged discharge in her diaper

A newborn who is 10 hr old and has new onset tachypnea

Answer and Explanation

The Correct Answer is D

The newborn who is 10 hr old and has new onset tachypnea should be assessed first as this could indicate a respiratory distress, which requires immediate intervention. The other options are concerning but not as urgent as respiratory distress.

A newborn with a short frenulum and difficulty breastfeeding can be assessed after the respiratory distress is addressed.

A newborn who is 24 hr old and has not had a meconium stool should be assessed for bowel sounds and abdominal distension, but it is not as urgent as respiratory distress. A newborn who is 30 hr old and has blood-tinged discharge in her diaper can be assessed after the respiratory distress is addressed. The blood-tinged discharge could be due to the infant's mother passing her own vaginal blood to the infant or a minor vaginal laceration during delivery.

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Correct Answer is B

Explanation

Counter pressure is a technique used to help alleviate the pain and discomfort of contractions during labor. It involves applying pressure to certain areas of the body to help relieve pain and tension. One of the most common areas for counter pressure is the lower back, as this area often experiences significant pain and discomfort during contractions.

Option A is incorrect because the top of the uterus is not an appropriate area for counter pressure during labor.

Option C is also incorrect as applying pressure between the thumb and index finger is a technique used to relieve headache pain, not labor pain.

Option D is incorrect because upward pressure on the lower abdomen is not an effective way to relieve the pain of contractions.

A. "Transmission can occur via the saliva and urine of the newborn." B. "This infection requires that airborne precautions be initiated for the newborn." C. "Mothers will receive prophylactic treatment with acyclovir prior to delivery." D. “Lesions are visible on the mother's genitalia."

Correct Answer is A

Explanation

Cytomegalovirus (CMV) is a common viral infection that can be transmitted from mother to newborn during childbirth. It can also be transmitted through contact with infected bodily fluids, including saliva, urine, and breast milk. Therefore, it is important to practice good hand hygiene and avoid sharing utensils or cups with young children who may be infected. Airborne precautions are not required for CMV, as it is not transmitted through the air. Prophylactic treatment with acyclovir is not effective against CMV, and there is no cure for the infection. Lesions are not typically visible on the mother's genitalia, and many mothers who are infected with CMV have no symptoms at all.

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A nurse in a newborn nursery is receiving a change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate?

Correct Answer is B

Explanation

The nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?

Correct Answer is A

Explanation

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