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?

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.

Oﬀer to take the newborn to the nursery to finish his feeding.

Answer and Explanation

The Correct Answer is B

The nurse should demonstrate how to hold the newborn and allow the client to
practice.
This will help the mother learn how to properly hold her baby and feel more conﬁdent in her ability to care for her newborn.

Choice A is not the best answer because insisting that the mother pick up the
newborn to feed him may make her feel uncomfortable or pressured.
Choice C is not the best answer because persuading the client to breastfeed the newborn to promote bonding may not be appropriate if the mother has chosen to botle-feed her baby.
Choice D is not the best answer because oﬀering to take the newborn to the nursery to ﬁnish his feeding may not address the mother’s concerns about holding her baby.

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Correct Answer is E

Explanation

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.

A. "I will drink water before the test until my bladder feels full.” B. "I can't have anything to eat after midnight.” C. "I won't apply perfumed lotion to my abdomen before the test.” D. "I need to take a stool softener the night before the test.”

Correct Answer is A

Explanation

“I will drink water before the test until my bladder feels full.” Drinking water before an abdominal ultrasound is usually recommended to ensure a full bladder.

Choice B is incorrect because fasting for 8-12 hours before an abdominal ultrasound is usually recommended.

Choice C is incorrect because there is no information found that suggests avoiding perfumed lotion on the abdomen before an abdominal ultrasound.

Choice D is incorrect because there is no information found that suggests taking a stool softener before an abdominal ultrasound.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is E

Explanation

A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?

A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care?

A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?

After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?

A nurse is caring for a newborn who has exstrophy of the bladder. Which of the following actions should the nurse take prior to the beginning of surgical correction?

A nurse is providing discharge teaching to a postpartum client about caring for her 3-day-old male newborn at home. Which of the following statements should the nurse make to the client?

A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?