A nurse is teaching a new mother the best method to store milk and use it later for feeding. She explains that the breast milk should never be thawed or heated in a microwave oven because of the following reasons. Please select all that apply

Microwaving decreases vitamin C content

Microwaving renders the milk tasteless

Microwaving does not heat the milk evenly

Microwaving decreases antiinfective properties

Microwaving decreases the iron content in the milk

Answer and Explanation

Correct Answer : A,C,D

A.   Microwaving breast milk decreases vitamin C content.
B.   Microwaving does not render the milk tasteless, but it may alter the taste slightly.
C. Microwaving does not heat breast milk evenly, creating hot spots that can burn the baby's mouth.
D.   Microwaving can decrease the antiinfective properties of breast milk.
E.   Microwaving breast milk does not decrease iron content.

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Correct Answer is B

Explanation

A. A cephalhematoma is a collection of blood under the periosteum that does not cross the suture lines and can take weeks to resolve.
B. Caput succedaneum occurs due to compression of blood vessels during delivery, resulting in edema and bruising of the scalp. It crosses the suture lines and usually resolves within a few days and does not cause any complications.
C. Erythema toxicum is a rash that is unrelated to head swelling.
D. Mongolian spots are blue-gray patches on the skin, not associated with head swelling.

A. Lancet should penetrate the ball of the foot. B. Lancet should penetrate at the outer aspect of the heel. C. Lancet should penetrate the area just below the fifth toe. D. Lancet should penetrate the walking surface of the heel.

Correct Answer is B

Explanation

A. The ball of the foot is not recommended for heelstick procedures.
B. The outer aspect of the heel is the preferred site. This area has fewer nerve endings and less risk of damaging the bone or cartilage.
C. The area below the fifth toe is not a standard site for a heelstick.
D. The walking surface of the heel should be avoided since it is prone to infection, more sensitive, and may interfere with walking.

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A nurse is teaching a new mother the best method to store milk and use it later for feeding. She explains that the breast milk should never be thawed or heated in a microwave oven because of the following reasons. Please select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn’s mother asks about the swollen area on her son’s head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?

Correct Answer is B

Explanation

The most serious complication of an infant heelstick is necrotizing osteochondritis resulting from lancet penetration of the bone. What approach should the nurse take when performing the test to prevent this complication?

Correct Answer is B

Explanation

A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if she can take the newborn to the mother's room. Which of the following is an appropriate response by the nurse?

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?

A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)

A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse anticipate administering? (Select all that apply.)

A new mother states that her infant must be cold because the baby’s hands and feet are blue. This common and temporary condition is called what?

A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?

A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the newborn's mouth, which of the following responses should the nurse make?

A nurse places a newborn under a radiant heat warmer after birth. The purpose of this action is to prevent which of the following in the newborn?