A nurse is teaching a new guardian about hunger cues in their newborn. Which of the following manifestations should the nurse include as early indication of hunger in newborns? (Select all that apply.)
Consistent crying
Hand-to-mouth movements
Rooting reflex
Sucking motions
The Babinski reflex
Correct Answer : B,C,D
B. Hand-to-mouth movements are an early hunger cue as the newborn tries to self-soothe or indicate readiness to feed.
C. Rooting reflex is a classic early sign where the newborn turns their head toward the stimulus (like a nipple) indicating hunger.
D. Sucking motions suggest the newborn is preparing or ready to feed.
A. Consistent crying is a late hunger cue and can indicate distress if earlier cues are missed.
E. The Babinski reflex is a neurological reflex unrelated to hunger cues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,C"},"D":{"answers":"B,C"},"E":{"answers":"C"}}
Explanation
|
Assessment findings |
Placenta previa |
Preterm labor |
Abruption placenta |
|
Cervical dilation |
✓ |
✓ |
|
|
Uterine contractions |
✓ |
✓ |
|
|
Vaginal bleeding |
✓ |
✓ |
|
|
Client reports low back pain |
✓ |
✓ |
|
|
Abdominal tenderness |
✓ |
Rationale
- Cervical dilation: Present in preterm labor and abruption due to uterine activity and cervical changes; not typical in placenta previa unless labor begins.
- Uterine contractions: Present in preterm labor and abruption; placenta previa usually painless without contractions.
- Vaginal bleeding: In placenta previa, bleeding is usually painless; in abruption, bleeding is often accompanied by pain; preterm labor usually does not involve bleeding.
- Low back pain: Common in preterm labor and abruption due to contractions or placental separation; not typical in placenta previa.
- Abdominal tenderness: Present in abruption because of bleeding behind the placenta causing uterine irritation; absent in placenta previa and preterm labor.
Correct Answer is D
Explanation
A. Fentanyl citrate is a potent opioid, typically reserved for severe pain and usually administered in controlled settings, not first-line postpartum analgesia.
B. Meperidine is less commonly used due to side effects and safety concerns.
C. Aspirin is generally avoided postpartum due to bleeding risks.
D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used postpartum for pain relief and inflammation control with a safer profile for breastfeeding mothers.
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