A nurse is providing teaching about newborn care to a client who is 2 hr postpartum.
Which of the following statements by the client indicates a need for further teaching?
"I should keep my baby's head covered.”
"My baby's bassinet should be kept away from fans and air conditioning.”
"My baby's temperature will be checked rectally every hour.”
"I should place my baby on my stomach and cover her with a warm blanket.”
The Correct Answer is C
The correct answer is choice C.
Choice A rationale:
Keeping the baby’s head covered helps to prevent heat loss, as newborns lose a significant amount of heat through their heads.
Choice B rationale:
Keeping the baby’s bassinet away from fans and air conditioning helps to maintain a stable body temperature.
Choice C rationale:
Newborns’ temperatures are typically checked every 3 to 4 hours, not every hour, and are usually done axillary, not rectally.
Choice D rationale:
Placing the baby on the mother’s stomach and covering her with a warm blanket promotes skin-to-skin contact and helps to maintain the baby’s body temperature.
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Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
While it’s true that breastfed infants may lose 5% to 10% of their birth weight in the first few days, this is not exclusive to breastfed infants.
Choice B rationale:
Formula-fed babies may gain weight more quickly than breastfed babies, but they do not typically show an increase in weight by day 3.
Choice C rationale:
Both formula-fed and breastfed newborns can lose 5% to 10% of their birth weight in the first few days.
Choice D rationale:
While formula-fed newborns may gain weight more quickly than breastfed newborns, they do not typically gain 3% to 5% of the initial birth weight in the first 48 hours.
Correct Answer is D
Explanation
The correct answer is choice D. When the cervix is fully dilated.
Choice A rationale:
The arrival of the health care provider does not determine when the laboring client should push. This is dependent on the dilation of the cervix.
Choice B rationale:
Seeing the fetal head is not the determinant for when the laboring client should push. The cervix needs to be fully dilated.
Choice C rationale:
The nurse wanting the client to push is not the correct time for the laboring client to push. The cervix needs to be fully dilated.
Choice D rationale:
The laboring client is encouraged to push when the cervix is fully dilated. This is to avoid birth trauma.
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