A nurse is planning care for a pre-term infant who is in an incubator.

Which of the following interventions should the nurse include to promote bonding between the infant and the parents?

Encourage the parents to touch and talk to the infant through the incubator ports

Limit the parents’ visitation time to prevent overstimulation of the infant

Advise the parents to avoid eye contact with the infant until he is stable

Restrict the parents from holding or feeding the infant until he is discharged.

Answer and Explanation

The Correct Answer is A

Encouraging the parents to touch and talk to the infant through the incubator ports can promote bonding between the infant and the parents. Bonding is the intense attachment that develops between parents and their baby, and it is essential for the baby’s social and cognitive development. Touch and communication are some of the ways that babies bond with their parents.

Choice B is wrong because limiting the parents’ visitation time can disrupt the bonding process and make the parents feel less involved in their baby’s care.

Choice C is wrong because eye contact is another way of bonding with babies, and it can help them feel secure and loved.

Choice D is wrong because holding and feeding the infant are also important ways of bonding, and they should not be restricted unless medically necessary.

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Correct Answer is A

Explanation

History of urinary tract infections.According to the Mayo Clinic, untreated vaginal infections, such as urinary tract infections or sexually transmitted infections, are risk factors for preterm labor.

These infections can cause inflammation and irritation of the cervix, which can trigger contractions and cervical dilation.

Choice B is wrong because maternal age of 25 years is not a risk factor for preterm labor.In fact, women younger than 18 or older than 35 are more likely to have a preterm delivery.

Choice C is wrong because singleton pregnancy is not a risk factor for preterm labor.On the contrary, being pregnant with twins, triplets, or more (called "multiple gestations") is associated with a higher risk of preterm labor and birth.

Choice D is wrong because cervical length of 3 cm is not a risk factor for preterm labor.A short cervix (less than 2.5 cm) or a cervix that shortens in the second trimester instead of the third trimester is a risk factor for preterm delivery.A normal cervical length ranges from 3 to 5 cm during pregnancy.

A. Hypertension B. Hyperreflexia C. Respiratory depression D. Tachycardia

Correct Answer is C

Explanation

Magnesium sulfate is a drug that is used to prevent seizures associated with pre-eclampsia and to stop preterm labor.However, it can also cause adverse effects such as respiratory depression, which is a condition where the breathing rate becomes too slow and shallow.

Respiratory depression can be life-threatening for both the mother and the baby, so the nurse should monitor the client’s respiratory rate and oxygen saturation closely.

Choice A is wrong because magnesium sulfate can cause hypotension, not hypertension.Hypotension is low blood pressure, which can lead to dizziness, fainting, and shock.

Choice B is wrong because magnesium sulfate can cause hyporeflexia, not hyperreflexia.Hyporeflexia is a reduced or absent reflex response, which can indicate magnesium toxicity.

The nurse should check the client’s deep tendon reflexes regularly and stop the infusion if they are absent.

Choice D is wrong because magnesium sulfate can cause bradycardia, not tachycardia.

Bradycardia is a slow heart rate, which can reduce the blood flow to vital organs.

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A nurse is planning care for a pre-term infant who is in an incubator. Which of the following interventions should the nurse include to promote bonding between the infant and the parents?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is at 34 weeks of gestation and has pre-term labor. Which of the following findings is a risk factor for pre-term labor?

Correct Answer is A

Explanation

A nurse is caring for a client who is in pre-term labor and receiving magnesium sulfate therapy. The nurse should monitor the client for which of the following adverse effects of magnesium sulfate?

Correct Answer is C

Explanation

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A nurse is planning care for a pre-term infant who is in an incubator.

Which of the following interventions should the nurse include to promote bonding between the infant and the parents?