A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client's arms, the mother states, "No, the baby is too tired to be held." Which of the following actions should the nurse take?
Offer to take the newborn to the nursery to finish his feeding.
Insist that the mother pick up the newborn to feed him.
Demonstrate how to hold the newborn and allow the client to practice.
Persuade the client to breastfeed the newborn to promote bonding.
The Correct Answer is A
It is important to ensure the safety of the newborn, and in this situation, the adolescent mother is putting the newborn at risk by leaving him unattended while feeding. Offering to take the newborn to the nursery allows him to finish feeding in a safe environment while also allowing the nurse to assess his feeding and ensure he is receiving adequate nutrition. It is important to provide education to the mother on safe feeding practices, but at this moment, ensuring the safety of the newborn is the priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C, D, A, B
Explanation
C. Ask the client to lie on her back and with her knees flexed.
D. Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis.
A. Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus.
B. Observe the client's perineum for the passage of clots and the amount of bleeding.
Correct Answer is D
Explanation
Abdominal ultrasounds are noninvasive imaging tests that use high-frequency sound waves to create images of the internal organs. When an abdominal ultrasound is performed, the client is typically asked to drink water before the test and to hold the urine to ensure that the bladder is full. This full bladder helps to create a clear image of the uterus and the developing fetus.
Option A is incorrect because applying perfumed lotion to the abdomen can interfere with the ultrasound waves and may affect the quality of the images.
Option B is also incorrect because having an empty stomach is not necessary for an abdominal ultrasound.
Option C is also incorrect because a stool softener is not necessary for an abdominal ultrasound.
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