A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum. Which of the following suggestions should the nurse make? (Select all that apply.)

Keep the newborn in the center of a large crib.

Take the newborn for a ride in the car.

Carry the newborn in a front or backpack.

Allow the newborn to continue crying until she falls asleep.

Swaddle the newborn in a receiving blanket.

Answer and Explanation

Correct Answer : B,C,E

Choice A rationale: Keeping the newborn in the center of a large crib is not a specific calming strategy and may not offer the comfort and security that the baby needs.
Choice B rationale: Taking the newborn for a ride in the car can be a calming strategy for some babies. The gentle motion and humming sound of the car can help soothe the baby.
Choice C rationale: Carrying the newborn in a front or backpack can provide comfort and security to the baby. The closeness to the parent's body and the rhythmic movement can help calm the baby.
Choice D rationale: Allowing the newborn to continue crying until she falls asleep is not a recommended strategy. Responding to the baby's cries and providing comfort and soothing is essential for the baby's emotional well-being.
Choice E rationale: Swaddling the newborn in a receiving blanket can help mimic the feeling of being in the womb, providing comfort and security to the baby. It can also prevent the startle reflex and promote better sleep.

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Correct Answer is B

Explanation

Choice A rationale:

Administering the hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen is not the appropriate treatment for a newborn whose mother is positive for the hepatitis B surface antigen. Immediate intervention is required to prevent transmission.
Choice B rationale:

The newborn of a mother who is positive for the hepatitis B surface antigen should receive hepatitis B immune globulin (HBIG) and the hepatitis B vaccine within 12 hours of birth. HBIG provides passive immunity to the baby while the vaccine stimulates active immunity.
Choice C rationale:

Administering hepatitis B immune globulin for 1 week followed by the hepatitis B vaccine monthly for 6 months is not the correct treatment plan. Immediate intervention is necessary to prevent transmission to the newborn.
Choice D rationale:

Administering the hepatitis B vaccine at 24 hours followed by hepatitis B immune globulin every 12 hours for 3 days is not the appropriate treatment. Hepatitis B immune globulin should be given within 12 hours of birth, not over several days.

A. Dry the infant off and cover the head. B. Stimulate the infant to cry. C. Clear the respiratory tract. D. Clamp the umbilical cord.

Correct Answer is A

Explanation

Choice A rationale: Drying the newborn and covering the head are essential steps in the immediate care of a newborn after birth. This helps prevent heat loss and promotes thermal stability for the baby.
Choice B rationale: Stimulating the newborn to cry is not the first priority in the immediate post-birth care. Drying and keeping the baby warm are more critical at this stage.
Choice C rationale: Clearing the respiratory tract may be necessary if there are signs of respiratory distress, but it is not the first action in the routine care of a newborn immediately after delivery.
Choice D rationale: Clamping the umbilical cord is usually done after the immediate care of the newborn is addressed, and it is not the first step in the initial care following a vaginal delivery.

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A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum. Which of the following suggestions should the nurse make? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?

Correct Answer is B

Explanation

A nurse is assisting with the care of a newborn following a vaginal delivery. Which of the following actions should the nurse perform first?

Correct Answer is A

Explanation

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