A nurse is reinforcing teaching with the mother of a 2-month-old infant whose provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia.
Which of the following statements by the mother indicates an understanding of the teaching?
"I will adjust the harness straps every day.".
"I will place the diaper over the harness.".
"I will gently massage lotion on his skin around the harness clasps.".
"I will check my baby's skin three times each day.".
The Correct Answer is D
Checking the baby’s skin three times each day can help the mother monitor for any skin irritation or breakdown caused by the harness.
This can help prevent complications and ensure that the harness is being used safely and effectively.
Choice A is not the best answer because the mother should not adjust the harness straps on her own.
This should be done by a healthcare provider to ensure that the harness is properly fitted.
Choice B is not the best answer because the diaper should be placed under the harness, not over it.
Choice C is not the best answer because massaging lotion on the skin around the harness clasps may not be necessary and could potentially cause skin irritation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is a variation of the side-lying position, which is recommended for pregnant women in the third trimester to improve blood flow to the uterus and the baby12.
Sleeping on the right side with a pillow under the hip can also help relieve pressure on the inferior vena cava, a large vein that carries blood from the lower body to the heart.
Sleeping on the back can cause lightheadedness and dizziness because of this pressure, as well as increase the risk of stillbirth1.
Choice B.
Without a pillow is incorrect, as this can make sleeping on the side uncomfortable and cause back pain or leg cramps.
Choice C.
with a pillow under her shoulders is incorrect, as this can elevate the upper body and worsen heartburn, a common problem in pregnancy.
Choice D.
with a pillow under both hips is incorrect, as this can make sleeping on the back more likely, which is not advised for pregnant women in the third trimester1.
Therefore, choice A is the best answer.
Correct Answer is A
Explanation
A positive urine hCG test is a priority assessment to assess for a possible pregnancy.
The human chorionic gonadotropin (hCG) hormone is produced by the placenta after implantation and can be detected in the urine of pregnant women.
A urine hCG test is a common method used to confirm pregnancy.
Choice B is not an answer because changes in uterine size and shape occur later in pregnancy and are not a priority assessment for early pregnancy detection.
Choice C is not an answer because a fetal heartbeat can usually be detected at around 6-7 weeks of pregnancy and is not a priority assessment for early pregnancy detection.
Choice D is not an answer because Chadwick’s sign, which refers to the bluish discoloration of the cervix, vagina, and vulva due to increased blood flow, occurs later in pregnancy and is not a priority assessment for early pregnancy detection.
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