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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Placing the newborn in the Trendelenburg position (head down, feet up) is not recommended in this situation and can potentially cause harm.
Choice B rationale: While saline drops can help clear nasal congestion, the bubbling mucus is coming from the mouth and nose, and suctioning is more appropriate.
Choice C rationale: The bubbling mucus indicates the presence of mucus and amniotic fluid in the baby's airway, which could interfere with breathing. The first action should be to suction the newborn's mouth to clear the airway.
Choice D rationale: Performing deep suctioning with an endotracheal tube is an invasive procedure and is not necessary for clearing mucus from the newborn's mouth and nose.
Correct Answer is D
Explanation
Choice A rationale: Eight months is too early to transition to whole milk. At this age, infants still need the complete nutrition provided by breast milk or formula.
Choice B rationale: Ten months is still too early for transitioning to whole milk. Breast milk or formula should be the primary source of nutrition until around 12 months of age.
Choice C rationale: At 6 months of age, infants are usually just starting to introduce solid foods, but breast milk or formula remains the primary source of nutrition. Transitioning to whole milk at this age is not recommended.
Choice D rationale: The American Academy of Pediatrics (AAP) recommends transitioning from breast milk or formula to whole cow's milk at around 12 months of age. Before that age, breast milk or formula provides essential nutrients for the baby's growth and development.
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