A nurse is providing teaching about newborn care to a client.Which statement indicates the need for further teaching?
My baby's bassinet should be kept away from fans.
My baby's temperature will be checked rectally every 3 hours.
I should keep my baby's head covered.
I should place my baby on my stomach and cover her with a warm blanket.
The Correct Answer is B
Choice A rationale
Keeping the baby's bassinet away from fans is good practice to avoid drafts that could make the baby cold. Maintaining a stable environment is important for newborns to help regulate their body temperature effectively.
Choice B rationale
Checking the baby's temperature rectally every 3 hours is unnecessary and potentially harmful. Rectal temperature checks are invasive and not typically needed unless directed by a healthcare provider. Axillary temperature is safer and more commonly recommended.
Choice C rationale
Keeping the baby's head covered can help maintain body temperature, especially in cooler environments. Newborns can lose heat quickly through their heads, so this practice is beneficial to keep them warm.
Choice D rationale
Placing the baby on the stomach and covering with a warm blanket is not recommended for sleeping due to the risk of sudden infant death syndrome (SIDS). Babies should be placed on their backs to sleep to reduce this risk. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Hypertonia, tachycardia, and metabolic alkalosis are not associated with necrotizing enterocolitis (NEC). NEC is characterized by gastrointestinal symptoms and signs of systemic illness.
Choice B rationale
Hypertension, apnea, and ruddy skin color are not specific indicators of necrotizing enterocolitis (NEC). NEC primarily presents with gastrointestinal symptoms and systemic instability.
Choice C rationale
Abdominal distention, temperature instability, and bloody stools are classic signs of necrotizing enterocolitis (NEC). These symptoms indicate severe inflammation and potential bowel necrosis.
Choice D rationale
Scaphoid abdomen, no residual with feedings, and increased urinary output are not characteristic of necrotizing enterocolitis (NEC). NEC typically presents with abdominal distention and feeding intolerance. .
Correct Answer is D
Explanation
Choice A rationale
Placing the patient in a Trendelenburg position is not the immediate priority. This position is often used to manage shock or to improve blood flow to the brain, but it does not directly address the cause of heavy lochia. It may not be the most effective first intervention in this situation.
Choice B rationale
Notifying the physician is important, but the nurse should first attempt to control the bleeding. The physician can be notified after initial measures to stop the bleeding are taken. Immediate intervention by the nurse is crucial in this scenario to stabilize the patient.
Choice C rationale
Administering Methylergonovine can help control postpartum hemorrhage, but this should be done after attempting non-pharmacological measures like fundal massage. Methylergonovine can have side effects and should be used with caution.
Choice D rationale
Massaging the fundus until it is firm is the immediate priority. This can help expel clots and stimulate uterine contraction, which can reduce bleeding. It is a direct and immediate intervention to address the heavy lochia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.