A nurse is reviewing the facility protocol about newborn identification and safety with a new parent. Which of the following information should the nurse include?

"You should check the identity of individuals who come to remove your baby from the room"

"We will scan your baby's identification bracelet each time check on him

"We will match the bracelet on your baby with his footprint record each shift"

"Your baby will wear an electronic bracelet when he is out of your room

Answer and Explanation

The Correct Answer is A

(A) "You should check the identity of individuals who come to remove your baby from the room":
It's crucial for parents to verify the identity of anyone who comes to take their baby out of the room. This helps ensure the baby's safety and prevents unauthorized individuals from taking the baby. Hospital staff usually wear identification badges, and parents should be encouraged to ask for and verify this identification.

(B) "We will scan your baby's identification bracelet each time check on him":
While scanning the baby's identification bracelet might be part of some hospital protocols for specific purposes like medication administration or matching mother and baby during certain procedures, it is not typically done every time a nurse checks on the baby. Continuous scanning is not a standard practice and would be logistically impractical.

(C) "We will match the bracelet on your baby with his footprint record each shift":
Matching the baby's bracelet with footprint records each shift is not a standard safety protocol. Footprints are usually taken at birth for records but are not routinely matched every shift. Identification is more reliably ensured through the use of identification bands worn by both the mother and the baby.

(D) "Your baby will wear an electronic bracelet when he is out of your room":
In many hospitals, electronic bracelets are used as a security measure, but they are typically worn by the baby at all times, not just when the baby is out of the room. This measure helps prevent abduction and ensures the baby's location is monitored continuously.

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Correct Answer is A

Explanation

(A) "You will be prescribed methadone":
Methadone maintenance therapy is a commonly used treatment for opioid use disorder in pregnant women. Methadone helps to manage withdrawal symptoms, reduce cravings, and stabilize the individual, promoting healthier outcomes for both the mother and the baby.

(B) "You will be prescribed aripiprazole":
Aripiprazole is not typically prescribed for opioid use disorder. It is an antipsychotic medication used to treat conditions such as schizophrenia, bipolar disorder, and depression, but it is not indicated for opioid dependence or withdrawal.

(C) "You will be prescribed naloxone":
Naloxone is an opioid antagonist used to reverse opioid overdose. While it is crucial to have naloxone readily available for individuals with opioid use disorder to prevent overdose deaths, it is not a primary treatment for opioid use disorder during pregnancy.

(D) "You will be prescribed diazepam":
Diazepam is a benzodiazepine medication primarily used for anxiety, muscle spasms, and seizures. It is not indicated for the treatment of opioid use disorder during pregnancy. In fact, benzodiazepines like diazepam should be used with caution during pregnancy due to the risk of birth defects and neonatal withdrawal symptoms.

A. Touch the corner of the newborn's mouth. B. Place the newborn supine and apply pressure to the soles of the feet. C. Stroke upward on the lateral aspect of the sole of the newborn's foot D. Pull the newborn up by the wrist from a supine position.

Correct Answer is C

Explanation

(a) Touch the corner of the newborn's mouth:
Touching the corner of the newborn's mouth elicits the rooting reflex, not the Babinski reflex. The rooting reflex causes the newborn to turn their head toward the touch and open their mouth, which helps with feeding.

(b) Place the newborn supine and apply pressure to the soles of the feet:
Applying pressure to the soles of the feet is not a method used to elicit the Babinski reflex. This action might influence other reflexes but not the Babinski.

(c) Stroke upward on the lateral aspect of the sole of the newborn's foot:
This is correct. The Babinski reflex is elicited by stroking upward on the lateral aspect of the sole of the newborn's foot. A positive response is the fanning and extension of the toes, which is normal in newborns.

(d) Pull the newborn up by the wrist from a supine position:
Pulling the newborn up by the wrists from a supine position is used to assess the traction response or pull-to-sit maneuver, which tests the newborn's head control and muscle tone, not the Babinski reflex.

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A nurse is reviewing the facility protocol about newborn identification and safety with a new parent. Which of the following information should the nurse include?

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