A nurse is reinforcing teaching about safety with the parent of a newborn. Which of the following instructions should the nurse include?

Take the newborn to the nursery before showering,

Position the newborn prone for sleep.

Place the newborn on a strict feeding schedule.

Swaddle the newborn with their legs extended.

Answer and Explanation

The Correct Answer is A

A. Take the newborn to the nursery before showering: Newborns require continuous supervision to prevent falls, choking, or accidental injury. Leaving a newborn unattended, even briefly, is unsafe. Taking the infant to the nursery or ensuring another responsible adult is present while the parent showers promotes safety.

B. Position the newborn prone for sleep: Placing a newborn prone (on the stomach) increases the risk of sudden infant death syndrome (SIDS). Safe sleep guidelines recommend placing infants on their backs in a flat, firm sleep surface to reduce SIDS risk.

C. Place the newborn on a strict feeding schedule: Newborns should be fed on demand, typically every 2–3 hours, based on hunger cues. Strict schedules can lead to inadequate nutrition, dehydration, or failure to thrive, this practice is not recommended for safety or growth.

D. Swaddle the newborn with their legs extended: Proper swaddling involves keeping the hips and legs flexed and slightly abducted to reduce the risk of hip dysplasia. Extending the legs during swaddling can harm hip development and is not considered safe practice.

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Correct Answer is C

Explanation

A. "I eat at least two meals every day and snack frequently.": Consuming at least two meals daily with additional snacks suggests a relatively consistent caloric intake. While a full dietary recall would still be appropriate, this statement alone does not immediately suggest nutritional risk without evidence of poor food quality or imbalance.

B. "I drink 4 ounces of wine with dinner several times each week.": Moderate alcohol intake, such as 4 ounces of wine with dinner, may not independently indicate nutritional compromise. Although excessive alcohol can interfere with nutrient absorption and metabolism, this amount does not automatically suggest malnutrition without additional risk factors.

C. "I take several prescription medications every day.": Multiple prescription medications raise concern for potential drug–nutrient interactions, altered appetite, gastrointestinal side effects, or impaired absorption of vitamins and minerals. Polypharmacy can also affect taste, swallowing, or metabolic processes, increasing the risk of nutritional deficiencies.

D. "I am able to keep my weight steady without gaining or losing.": Stable weight over time generally suggests adequate caloric intake relative to metabolic needs. Although body composition and diet quality still require evaluation, maintaining weight does not immediately signal nutritional risk in the absence of other concerning findings.

A. Vomiting B. Confusion C. Incontinence D. Tinnitus

Correct Answer is B

Explanation

A. Vomiting: Vomiting is not a common adverse effect of electroconvulsive therapy (ECT). While anesthesia or premedication may occasionally cause nausea, it is not a typical expected response directly related to the ECT procedure itself.

B. Confusion: Transient confusion and short-term memory loss are common and expected adverse effects after ECT. Clients may experience disorientation immediately post-treatment, usually resolving within minutes to hours, and this is considered part of the normal recovery process.

C. Incontinence: Urinary or fecal incontinence is not typically associated with ECT. Motor control is usually intact post-procedure, and incontinence would indicate an unrelated neurological or medical issue.

D. Tinnitus: Ringing in the ears is not an expected effect of ECT. Auditory changes are not commonly reported, and if present, they should prompt further evaluation for other causes unrelated to the therapy.

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A nurse is reinforcing teaching about safety with the parent of a newborn. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is B

Explanation

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