A nurse is attending to a newborn who was delivered at 39 weeks of gestation and is now 36 hours old.

The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool yet.

Which of the following observations should the nurse report to the provider?

Glucose level

Head assessment finding sclera color

Respiratory rate

Intake and output

Answer and Explanation

The Correct Answer is D

Choice A rationale
While monitoring glucose levels is important in newborn care, it is not specifically related to breastfeeding frequency and voiding patterns.
Choice B rationale
While assessing the newborn’s head and sclera color is part of a comprehensive newborn examination, it is not specifically related to breastfeeding frequency and voiding patterns.
Choice C rationale
While monitoring the newborn’s respiratory rate is crucial in newborn care, it is not specifically related to breastfeeding frequency and voiding patterns.
Choice D rationale
Monitoring intake and output is directly related to breastfeeding frequency and voiding patterns. A newborn who has been breastfeeding 3 to 4 times per day should have passed meconium stool by 36 hours old. The absence of meconium stool could indicate a problem and should be reported to the provider.

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Correct Answer is C

Explanation

Choice A rationale
While herbal teas can be a part of a healthy diet, there is no scientific evidence to suggest that drinking herbal tea twice daily can improve fertility. Some herbal teas may even contain substances that could potentially harm a developing fetus or interfere with fertility treatments. Therefore, it’s important for individuals trying to conceive to discuss any dietary supplements or herbal remedies with their healthcare provider.
Choice B rationale
Taking daily hot baths is not recommended as a fertility treatment. In fact, frequent hot baths or hot tub use can actually decrease fertility in men by affecting sperm production. For women, there is no evidence to suggest that hot baths can improve fertility.
Choice C rationale
Maintaining a healthy weight can improve fertility in both men and women. Being overweight or underweight can affect hormone production and make it more difficult to conceive.
Therefore, maintaining a healthy weight through a balanced diet and regular physical activity is one of the most effective non-pharmacological treatments for improving fertility.
Choice D rationale
Using a lubricant during intercourse can make sex more comfortable, but some lubricants can actually decrease fertility by affecting sperm motility. If a lubricant is needed, it’s important to choose a product that is labeled as "fertility-friendly"5.

A. Maintain a low stimulation environment B. Weigh the newborn daily C. Advise the parent to avoid breastfeeding D. Avoid eye contact with the newborn during feeding E. Plan to administer naloxone F. Swaddle the newborn with flexed extremities G. Perform Ballard newborn screening each shift . .

Correct Answer is ["A","B","F"]

Explanation

Choice A rationale
Maintaining a low-stimulation environment is recommended for newborns exhibiting clinical findings of NAS56. This can help to reduce symptoms such as irritability and restlessness.
Choice B rationale
Weighing the newborn daily is important in the care of a newborn with NAS56. This can help to monitor the newborn’s growth and development, and any significant changes in weight could indicate a need for further medical intervention.
Choice C rationale
Advising the parent to avoid breastfeeding is not typically recommended for mothers who used opioids prior to pregnancy and were prescribed methadone during pregnancy. In fact, breastfeeding is often encouraged for these mothers, as it can help to reduce the severity of NAS symptoms in the newborn.
Choice D rationale
Avoiding eye contact with the newborn during feeding is not typically recommended as part of the care for a newborn with NAS56. Eye contact can help to promote bonding between the parent and the newborn.
Choice E rationale
The administration of naloxone is not typically recommended for a newborn with NAS56. Naloxone is a medication used to reverse the effects of opioids, but it is not typically used in the treatment of NAS56.
Choice F rationale
Swaddling the newborn with flexed extremities can help to comfort a newborn with NAS56. This can help to reduce symptoms such as irritability and restlessness.
Choice G rationale
This option is not typically necessary for the management of neonatal abstinence syndrome (NAS). The Ballard score is used to assess gestational age and physical maturity of a newborn, but it is not a routine part of monitoring for NAS.

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Naxlex Comprehensive Predictor Exams

A nurse is discussing fertility treatment options with a client and their partner. Which of the following non-pharmacological treatments should the nurse suggest?

Correct Answer is C

Explanation

Correct Answer is ["A","B","F"]

Explanation

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