A nurse is reinforcing discharge teaching with the parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?

"I will notify my provider if my baby sleeps more than 10 hours per day."

"I will place my baby on his back for sleeping."

"I will change my baby's diaper every 4 hours."

"I will limit my baby's feedings so he does not become overweight."

Answer and Explanation

The Correct Answer is B

Choice A Reason:

"I will notify my provider if my baby sleeps more than 10 hours per day." This statement is not in line with normal newborn sleep patterns. Newborns typically sleep for longer durations and wake up for feedings. It's essential for parents to follow their provider's guidance on feeding and sleep schedules.

Choice B Reason:

"I will place my baby on his back for sleeping." This statement indicates an understanding of safe sleep practices for newborns. Placing a baby on their back for sleep is recommended to reduce the risk of sudden infant death syndrome (SIDS).

Choice C Reason:

"I will change my baby's diaper every 4 hours." While it's important to change a baby's diaper regularly, the frequency of diaper changes may vary depending on the baby's needs. Diapers should be changed when wet or soiled, not necessarily on a strict time schedule.

Choice D Reason:

"I will limit my baby's feedings so he does not become overweight." It is not advisable to limit a newborn's feedings for concerns about becoming overweight. Newborns need to feed frequently to meet their nutritional needs and support healthy growth and development. Parents should follow their healthcare provider's guidance on feeding and monitor the baby's growth and weight appropriately.

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Correct Answer is C

Explanation

Choice A Reason:

Select the central tip of a finger is incorrect. The nurse should select a puncture site on the side of the finger, slightly off-center from the central tip, as it tends to be less painful. The side of the finger has an adequate blood supply and can provide an accurate blood sample without causing excessive discomfort.

Choice B Reason:

Wearing sterile gloves is incorrect. Sterile gloves are not typically necessary for routine capillary blood glucose monitoring. However, clean hands and proper hand hygiene are essential. The nurse should perform hand hygiene before the procedure.

Choice C Reason:

Keeping the finger in a dependent position is correct. Keeping the finger in a dependent position (hanging down) can promote blood flow and make it easier to obtain a blood sample. This is a recommended technique to facilitate the puncture and collection of blood.

Choice D Reason:

Milking may hemolyze specimen and introduce excess tissue fluid.

A. "I understand that immunizations will be withheld if my child has lactose intolerance." B. "I can make several office visits, so my child does not get so many immunizations at once." C. "It is recommended that my child receive his first flu immunization at the age of 6." D. "My child will need to start the human papillomavirus series when he enters kindergarten."

Correct Answer is B

Explanation

This statement demonstrates an understanding of the concept of spacing out immunizations to reduce the number of shots given during a single visit. By making multiple office visits, the parent can ensure that their child receives the recommended immunizations while minimizing the number of injections at each visit.

Lactose intolerance is not a contraindication to receiving immunizations. Most vaccines do not contain lactose, and even if they do, the amount present is typically minimal and not expected to cause an adverse reaction in individuals with lactose intolerance.

The first flu immunization is typically recommended for children starting at 6 months of age, not at 6 years of age.

The human papillomavirus (HPV) vaccine is typically recommended for preteens and adolescents, usually starting between the ages of 11 and 12. It is not typically administered when a child enters kindergarten.

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A nurse is reinforcing discharge teaching with the parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?

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