A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn’s maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?

“Look at how she looks as you when you speak. That’s a good sign.”

“We do routine hearing screenings on newborns. You’ll know the results before you leave the hospital.”

“There is no need to worry about that. Most forms of hearing loss are not inherited.”

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

Answer and Explanation

The Correct Answer is B

A.   While visual attention to the speaker is a positive sign, routine hearing screenings provide a more accurate assessment of hearing.
B.   Routine hearing screenings are conducted on newborns to identify hearing issues early, allowing for intervention if necessary.
C. While most forms of hearing loss may not be inherited, it's important to assess the newborn's hearing through appropriate screenings.
D.   Startle reflex is not a reliable indicator of hearing ability, and routine screenings provide more accurate information.

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Correct Answer is B

Explanation

A. Keeping the baby's bassinet away from fans and air conditioning is a correct practice to prevent chilling.
B. Checking the baby's temperature rectally every hour is not a standard practice and may lead to unnecessary discomfort for the baby.
C. Keeping the baby's head covered is generally recommended for warmth.
D. Keeping the infant swaddled in a warm blanket is a good practice for maintaining warmth.

A. Drying the newborn's skin thoroughly B. Preventing air drafts C. Placing the newborn on a warm surface D. Maintaining ambient room temperature at 24° C (75" F)

Correct Answer is A

Explanation

A. Drying the newborn's skin thoroughly helps reduce evaporative heat loss by removing wetness and promoting warmth.
B. Preventing air drafts is important to reduce convective heat loss.
C. Placing the newborn on a warm surface helps prevent conductive heat loss.
D. Maintaining ambient room temperature is important but does not directly address evaporative heat loss.

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A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn’s maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about newborn care to a client who is 2 hr postpartum. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is B

Explanation

A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?

Correct Answer is A

Explanation

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