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 D

Explanation

Choice A rationale: Stopping breastfeeding is not recommended for breast engorgement. Breastfeeding frequently and effectively is one of the best ways to relieve engorgement and prevent further complications.
Choice B rationale: Feeding the baby every 2 hours is a frequent feeding schedule, which can help manage breast engorgement. However, this statement does not specifically address the use of cold compresses for relief.
Choice C rationale: Wearing a supportive bra during the daytime can help provide comfort and support for engorged breasts. However, this statement does not specifically address the use of cold compresses for relief.
Choice D rationale: Applying cold compresses to the breasts before each feeding can help reduce breast engorgement and discomfort. Cold compresses can help constrict the blood vessels and reduce swelling, making it easier for the baby to latch on and feed effectively.

A. Place elbow restraints on the newborn. B. Change the newborn's position every 2 hr. C. Cluster the newborn's care activities. D. Allow opportunities for newborn massage.

Correct Answer is C

Explanation

Choice A rationale: Placing elbow restraints is not a recommended practice for preterm newborns. Restraints are used in some cases to prevent the baby from pulling on tubes or lines, but it is not primarily for energy conservation.
Choice B rationale: While frequent position changes are important to prevent pressure ulcers and promote comfort, they may not necessarily help conserve energy in a preterm newborn.
Choice C rationale: Preterm newborns have limited energy reserves, and conserving energy is essential for their growth and development. Clustering care activities involves combining nursing care tasks to allow for longer periods of uninterrupted rest for the baby. This approach reduces the baby's energy expenditure and promotes better weight gain and stability.
Choice D rationale: While gentle touch and massage can be beneficial for preterm newborns to promote bonding and relaxation, it may not directly conserve energy as cluster care does.

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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

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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