A nurse is caring for a newborn.
Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?

The newborn's respiratory rate is 32/min.

The newborn's respiratory rate is irregular.

The newborn is beginning to cough.

The newborn's pulse oximetry is 91.

None of the above

Answer and Explanation

The Correct Answer is E

None of the choices provided indicate that suctioning of the nasopharynx is needed for a newborn.

Nasopharyngeal suctioning is performed to remove mucus or saliva from the back of the throat when a newborn is unable to cough or swallow. It is commonly used in infants with bronchiolitis.

Choice A, “The newborn’s respiratory rate is 32/min,” is not an answer because a respiratory rate of 32/min is within the normal range for a newborn.

Choice B, “The newborn’s respiratory rate is irregular,” is not an answer because irregular breathing paterns are common in newborns.

Choice C, “The newborn is beginning to cough,” is not an answer because coughing is a normal reﬂex that helps clear the airway.

Choice D, “The newborn’s pulse oximetry is 91,” is not an answer because pulse oximetry measures oxygen saturation and does not indicate the need for nasopharyngeal suctioning.

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Correct Answer is C

Explanation

A nurse should recommend that a client who is experiencing nausea and vomiting during pregnancy consume foods served at cool temperatures. This is because cool foods may be easier to tolerate than hot foods.

Choice A is not correct because high-fat foods can worsen nausea and vomiting during pregnancy.

Choice B is not correct because eating a snack before bedtime may help prevent nausea and vomiting in the morning.

Choice D is not correct because drinking additional liquids with meals can worsen nausea and vomiting during pregnancy.

Instead, it may be helpful to sip ﬂuids throughout the day.

A. Restrict the newborn's ﬂuid intake. B. Keep the newborn in a side-lying position. C. Cover the newborn's bladder with a sterile, non-adherent dressing. D. Exert gentle pressure on the newborn's bladder with sterile gauze. E. Exert gentle pressure on the newborn's bladder with sterile gauze.

Correct Answer is C

Explanation

A nurse caring for a newborn who has exstrophy of the bladder should cover the newborn’s bladder with a sterile, non-adherent dressing prior to the beginning of surgical correction.

Choice A is incorrect because it is not necessary to restrict the newborn’s ﬂuid intake.

Choice B is incorrect because it is not necessary to keep the newborn in a side- lying position.

Choice D is incorrect because it is not appropriate to exert gentle pressure on

the newborn’s bladder with sterile gauze.

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A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?

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A nurse is caring for a newborn.
Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?