A nurse is caring for a client who is postpartum. The client states, "I am concerned about my baby's hearing because my mother was born deaf." Which of the following statements should the nurse make?

"The best way to determine if your baby can hear is to clap your hands loudly and see if she startles."

"There is no need to worry about that. Most forms of hearing loss are not Inherited."

"We do routine hearing screenings on newborns. You'll know the results before you leave the hospital."

"Look at how she looks as you when you speak. That's a good sign."

Answer and Explanation

The Correct Answer is C

Choice A rationale: This statement is not accurate, as startling in response to a loud noise does not necessarily indicate that the baby can hear normally. Startling can be a normal reflex response and may not accurately assess the baby's hearing ability.
Choice B rationale: While it is true that many forms of hearing loss are not inherited, the client's concern about her family history of deafness is valid. It is essential to address her concerns and provide appropriate information about the hearing screening.
Choice C rationale: Routine hearing screenings are typically performed on newborns to identify any potential hearing problems early on. Early detection and intervention for hearing loss can lead to better outcomes for the baby's language development and overall well-being. By reassuring the client about the hearing screening, the nurse addresses her concerns and provides information about the process.
Choice D rationale: While visual cues and responses are important for the baby's communication and bonding, they do not provide a definitive assessment of the baby's hearing ability. Hearing screening is a more reliable method to detect potential hearing problems in newborns.

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Correct Answer is ["B","C","E"]

Explanation

Choice A rationale: Keeping the newborn in the center of a large crib is not a specific calming strategy and may not offer the comfort and security that the baby needs.
Choice B rationale: Taking the newborn for a ride in the car can be a calming strategy for some babies. The gentle motion and humming sound of the car can help soothe the baby.
Choice C rationale: Carrying the newborn in a front or backpack can provide comfort and security to the baby. The closeness to the parent's body and the rhythmic movement can help calm the baby.
Choice D rationale: Allowing the newborn to continue crying until she falls asleep is not a recommended strategy. Responding to the baby's cries and providing comfort and soothing is essential for the baby's emotional well-being.
Choice E rationale: Swaddling the newborn in a receiving blanket can help mimic the feeling of being in the womb, providing comfort and security to the baby. It can also prevent the startle reflex and promote better sleep.

A. "Your baby's mouth is rather small so she will only take part of nipple." B. "You should place your nipple and some of the areola into her mouth." C. "Try to place the nipple, the entire areola, and some breast tissue beyond the areola into her mouth." D. "Babies know instinctively exactly how much of the nipple to take into their mouth."

Correct Answer is B

Explanation

Choice A rationale:
Placing only part of the nipple in the baby's mouth may result in an ineffective latch, leading to breastfeeding difficulties.
Choice B rationale:
Placing the nipple and 2 to 3 cm of areolar tissue around the nipple into the baby’s mouth aids in adequately compressing the milk ducts. This placement decreases stress on the nipple and prevents cracking and soreness.
Choice C rationale:
Placing the entire areolar is not appropriate.
Choice D rationale:
While babies do have natural instincts to breastfeed, it is essential to provide the mother with specific guidance on achieving a proper latch to ensure successful breastfeeding.

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A nurse is caring for a client who is postpartum. The client states, "I am concerned about my baby's hearing because my mother was born deaf." Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum. Which of the following suggestions should the nurse make? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the baby's mouth, which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

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