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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A) Client is Rh negative and the newborn is Rh positive:

This is the correct response. Rho (D) Immunoglobulin, also known as RhoGAM, is administered to Rh-negative mothers who have given birth to Rh-positive infants. This medication helps prevent the mother's immune system from producing antibodies against Rh-positive blood cells, which could lead to hemolytic disease of the newborn in subsequent pregnancies. Administering RhoGAM in this scenario helps prevent sensitization of the mother's immune system to Rh-positive blood cells.

B) Client is Rh positive and the newborn is Rh negative:

Administering RhoGAM to an Rh-positive mother with an Rh-negative newborn would not be necessary because there is no risk of Rh incompatibility in this situation.

C) Client is Rh positive and the newborn is Rh positive:

Administering RhoGAM to an Rh-positive mother with an Rh-positive newborn would not be necessary because the mother and newborn share the same Rh factor, so there is no risk of Rh incompatibility.

D) Client is Rh negative and the newborn is Rh negative:

Administering RhoGAM to an Rh-negative mother with an Rh-negative newborn would not be necessary because there is no risk of Rh incompatibility in this situation.

A. Wash the cord daily with mild soap and water. B. Give a sponge bath until the cord stump falls off. C. Cover the cord with the diaper. D. Apply petroleum jelly to the cord stump.

Correct Answer is B

Explanation

A) Wash the cord daily with mild soap and water:

This instruction is incorrect. Washing the umbilical cord stump daily with soap and water can increase the risk of infection and delay the drying process. It is recommended to keep the cord stump clean and dry without using soap or other cleansing agents.

B) Give a sponge bath until the cord stump falls off:

This instruction is correct. Until the umbilical cord stump falls off, it is advisable to give the newborn sponge baths rather than immersing them in a tub of water. Sponge baths help keep the cord stump dry and reduce the risk of infection until it naturally separates from the baby's body.

C) Cover the cord with the diaper:

This instruction is incorrect. Covering the umbilical cord stump with a diaper can create a moist environment, which may increase the risk of infection. It is recommended to fold down the top edge of the diaper to expose the cord stump to air and aid in drying.

D) Apply petroleum jelly to the cord stump:

This instruction is not recommended. Applying petroleum jelly or any other substance to the umbilical cord stump can interfere with the drying process and increase the risk of infection. It is best to allow the cord stump to air dry naturally without the use of additional products.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 caring for a client who is postpartum and has a prescription for Rho (D) Immunoglobulin. The nurse should verify which of the following prior to administration?

Correct Answer is A

Explanation

A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?

A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?

A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take?

A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding? (Select all that apply.)

A nurse is completing discharge instructions for a new mother and her newborn. The mother asks, "How will I know if my baby gets enough breast milk?" Which of the following responses should the nurse make?

A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?

A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following findings indicates that the medication was effective?