A nurse is assisting a client with breastfeeding. The nurse explains that which of the following reflexes will promote the newborn to latch?

Moro

Babinski

Stepping

Rooting

Answer and Explanation

The Correct Answer is D

A) Moro reflex:

The Moro reflex is a startle reflex characterized by the newborn's arms and legs extending outward in response to a sudden movement or noise. It is not involved in promoting breastfeeding latching.

B) Babinski reflex:

The Babinski reflex is a reflex action of the newborn's foot in response to stimulation. It involves the toes spreading out and the big toe dorsiflexing when the sole of the foot is stroked. This reflex is unrelated to breastfeeding.

C) Stepping reflex:

The stepping reflex is an automatic response seen in newborns when held upright with their feet touching a solid surface. They make stepping movements with their legs as if they are walking. This reflex is unrelated to breastfeeding.

D) Rooting reflex:

The rooting reflex is a natural instinct in newborns characterized by turning their head toward a stimulus that strokes or touches their cheek or mouth. This reflex helps facilitate breastfeeding by guiding the newborn's mouth toward the nipple, making it easier for them to latch onto the breast and initiate feeding.

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Correct Answer is C

Explanation

A) "I should place my baby's crib next to the heater to keep him warm during the winter":

Placing the baby's crib next to a heater poses a risk of overheating and burns, which can be dangerous for the newborn. This statement indicates a misunderstanding of crib safety and puts the baby at risk of injury.

B) "I should pad the mattress in my baby's crib so that he will be more comfortable when he sleeps":

Padding the mattress in the baby's crib increases the risk of suffocation and SIDS. Soft bedding, including padded mattresses, should be avoided to maintain a safe sleep environment for the baby. This statement indicates a lack of understanding of safe sleep practices.

C) "I should remove extra blankets from my baby's crib":

Removing extra blankets from the baby's crib is a crucial aspect of crib safety. Extra bedding increases the risk of suffocation and SIDS, so it's essential to keep the crib free of loose blankets, pillows, and other soft items. This statement indicates an understanding of safe sleep practices and prioritizes the baby's safety.

D) "I will place my baby on his stomach when he is sleeping":

Placing the baby on his stomach for sleep increases the risk of SIDS. The American Academy of Pediatrics recommends placing babies on their backs to sleep to reduce the risk of sudden unexpected infant death. This statement indicates a misunderstanding of safe sleep practices and poses a risk to the baby's safety.

A. Clean the perineal area from front to back. B. Blot the perineal area dry after cleansing. C. Apply ice packs to the perineal area several times daily. D. Perform hand hygiene before and after voiding. E. Wash the perineal area using a squeeze bottle of warm water after each voiding.

Correct Answer is ["A","B","D","E"]

Explanation

A) Clean the perineal area from front to back:

This is correct. Instructing the client to clean the perineal area from front to back helps prevent the introduction of fecal bacteria into the vaginal area, reducing the risk of perineal infection.

B) Blot the perineal area dry after cleansing:

This is correct. Instructing the client to blot the perineal area dry after cleansing helps remove excess moisture, which can promote bacterial growth and increase the risk of infection.

D) Perform hand hygiene before and after voiding:

This is correct. Performing hand hygiene before and after voiding is essential to reduce the risk of introducing bacteria from the hands to the perineal area, which can lead to infection.

E) Wash the perineal area using a squeeze bottle of warm water after each voiding:

This is correct. Washing the perineal area with warm water using a squeeze bottle after each voiding helps cleanse the area without causing irritation or trauma, promoting perineal hygiene and reducing the risk of infection.

C) Apply ice packs to the perineal area several times daily:

This is incorrect. While applying ice packs to the perineal area can help reduce swelling and discomfort after vaginal delivery, it is not specifically aimed at reducing perineal infection. Cold therapy is more focused on providing comfort and promoting healing of any perineal trauma rather than preventing infection.

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A nurse is assisting a client with breastfeeding. The nurse explains that which of the following reflexes will promote the newborn to latch?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

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