A nurse is caring for a new mother who is concerned that her newborns eyes cross. Which of the following statements is a therapeutic response by the nurse?
This occurs because newborns lack muscle control to regulate eye movements
This is a concern, but strabismus is easily treated with patching
I will take your baby to the nursery for further examination
I will call your primary care provider to report your concerns
The Correct Answer is A
A. “This occurs because newborns lack muscle control to regulate eye movements”: This is the correct answer. Newborns often have uncoordinated eye movements because the muscles that control their eyes are not fully developed yet. This is normal and usually resolves by the time the baby is about 3 months old.
B. “This is a concern, but strabismus is easily treated with patching”: This response is not entirely accurate. While strabismus can be treated with patching, it’s important to note that crossing of the eyes in newborns is usually normal and does not necessarily indicate strabismus.
C. “I will take your baby to the nursery for further examination”: This response may cause unnecessary worry for the mother. It’s better to reassure the mother that this is a normal occurrence in newborns.
D. “I will call your primary care provider to report your concerns”: This response may also cause unnecessary worry for the mother. The nurse should first reassure the mother that this is a normal occurrence in newborns.
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Related Questions
Correct Answer is D
Explanation
A. It increases the fetal heart rate: Betamethasone does not directly increase the fetal heart rate. Its primary function is to accelerate lung maturity and production of surfactant, a substance that prevents the lungs from collapsing.
B. It halts cervical dilation: Betamethasone is not used to halt cervical dilation. It is a corticosteroid given to speed up the development of the baby’s lungs if preterm birth is likely.
C. Is used to stop preterm labor contractions: Betamethasone is not used to stop preterm labor contractions. It is given to help mature the baby’s lungs, not to stop labor.
D. It promotes fetal lung maturity: This is the correct choice. Betamethasone is given to pregnant women at risk of preterm birth to accelerate the baby’s lung development. This helps to reduce the risk of respiratory distress syndrome, a common complication in preterm infants.
Correct Answer is C
Explanation
A. Rupture of the membranes: While this can occur in true labor, it can also happen before labor begins. Therefore, it’s not a definitive sign of true labor.
B. Pattern of contractions: While contractions do occur in true labor, the key difference between true and false labor is not the pattern of contractions, but whether they cause changes in the cervix.
C. Changes in the cervix: This is the correct choice. In true labor, contractions will lead to progressive changes in the cervix, including effacement (thinning) and dilation (opening). This is the definitive sign of true labor.
D. Station of the presenting part: While the station of the presenting part (how far down the baby has moved in the pelvis) can change during labor, it’s not a definitive sign of true labor. The key sign of true labor is changes in the cervix.
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