A nurse is reinforcing teaching about newborn care with a new guardian.
Which of the following statements by the guardian indicates an understanding of the teaching?
"I will wash my baby's head using a moist towelette."
"I will bathe my baby under a faucet of running water."
"I will wash my baby's face with a warm, wet washcloth without soap."
"I will give my baby a bath every day."
The Correct Answer is C
This statement reflects appropriate newborn care as newborns have sensitive skin, and using soap on the face can cause irritation. Washing the baby's face with a warm, wet washcloth is a gentle and effective way to clean the baby's face without the need for soap.
Moist towelettes may not be suitable for cleaning a newborn's head as they may contain chemicals or fragrances that can be harsh on the baby's delicate skin. It is generally recommended to use a soft, damp cloth for cleaning the baby's head.
Bathing a newborn under a faucet of running water can be unsafe as the water temperature may fluctuate and pose a risk of scalding. It is recommended to use a baby bathtub or a basin with warm water for bathing the baby.
Newborns do not need to be bathed daily as frequent bathing can strip their skin of natural oils and cause dryness. It is generally recommended to bathe newborns 2-3 times a week or as needed, focusing on areas that need cleaning such as the diaper area and skin folds.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
When a central venous catheter (CVC) is inserted, it is essential to confirm proper catheter placement to ensure safe and effective administration of TPN and other medications. A chest x-ray is the gold standard method to verify the correct positioning of the CVC tip. It helps determine if the catheter is appropriately positioned in the superior vena cava or another desired location, which minimizes the risk of complications such as pneumothorax or improper medication delivery.
The other options listed are not appropriate actions for the nurse to take in this situation:
- Verifying the amount of TPN solution the client is receiving every 4 hours is a task related to ongoing monitoring of TPN administration, but it is not directly related to the preparation of the client for CVC insertion.
- Using clean technique when changing the catheter dressing is not appropriate for CVC insertion. Sterile technique is required during the insertion of a CVC to minimize the risk of infection.
- Placing the client in Sims' position is not the appropriate position for CVC insertion. The client is typically placed in a supine or Trendelenburg position during the procedure to facilitate access to the central venous system.
Correct Answer is B
Explanation
The plantar Babinski reflex is assessed by stroking the sole of the foot from the heel towards the toes. A normal response is the flexion or curling of the toes. An abnormal response, known as a positive Babinski sign, is the extension and fanning out of the toes, which indicates an upper motor neuron lesion.
"Place your foot in my hand and I will tap the back of your heel": This instruction is more relevant to testing the Achilles tendon reflex, where the nurse taps the back of the heel to elicit a plantarflexion response.
"Sit on the edge of the bed while I tap your knee": This instruction is more relevant to testing the patellar reflex, also known as the knee-jerk reflex. The nurse taps the patellar tendon just below the kneecap to elicit a reflexive contraction of the quadriceps muscle.
"Relax your arm across your chest and I will test your elbow extension": This instruction is more relevant to testing the triceps reflex, where the nurse taps the triceps tendon to elicit a reflexive extension of the elbow.
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