A nurse manager is revising a policy in the maternal unit to ensure proper identification of newborns. What should the nurse include in the policy?

Check the newborn’s identification using the crib card.

Require visitors to wear an identification band.

Replace the infant’s identification band after his name has been recorded.

Obtain an imprint of the infant’s feet prior to taking him to the nursery.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Checking the newborn’s identification using the crib card is not the most reliable method. The crib card could be misplaced or switched accidentally.
Choice B rationale
Requiring visitors to wear an identification band does not directly ensure the proper identification of newborns. While it can enhance the security of the unit, it does not link the newborn to their correct parents.
Choice C rationale
Replacing the infant’s identification band after his name has been recorded is not the most effective method. The identification band should be placed on the newborn immediately after birth to prevent mix-ups.

Choice D rationale
Obtaining an imprint of the infant’s feet prior to taking him to the nursery is the correct answer. This method is a reliable way to identify newborns. The footprints, along with the mother’s fingerprints, are often taken within the first hour after birth. This can be used for identification throughout the hospital stay.

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Correct Answer is C

Explanation

Choice A rationale
While demonstrating proper bathing of the infant is an important skill for new mothers, it is not typically a primary goal during the taking-in phase. This phase is characterized by the mother’s need to review her birth experience and begin to process her new role.
Choice B rationale
Verbalizing appropriate car seat safety is important, but it is not a primary goal during the taking-in phase. This phase is more focused on the mother’s internal processing of her birth experience.

Choice C rationale
This is the correct answer. Having adequate nutritional intake is a key goal during the taking-in phase. Good nutrition is essential for healing and recovery after childbirth, as well as for breastfeeding.
Choice D rationale
Identifying necessary family roles is an important part of adjusting to parenthood, but it is not a primary goal during the taking-in phase. This phase is more about the mother’s personal adjustment and recovery.

A. Facial petechiae B. Periauricular papillomas C. Erythema toxicum D. Telangiectatic nevi

Correct Answer is A

Explanation

Choice A rationale
Facial petechiae are small, pinpoint, red or purple spots on the skin that result from minor bleeding from broken capillary blood vessels. They can occur as a result of a nuchal cord, which is when the umbilical cord becomes wrapped around the fetus’s neck. This can cause pressure and minor injuries, leading to the appearance of petechiae.
Choice B rationale
Periauricular papillomas are not typically associated with a nuchal cord. They are small, benign skin growths that occur near the ear. They are not a common finding in newborns and are not related to the conditions of birth.
Choice C rationale
Erythema toxicum is a common rash seen in newborns, characterized by tiny bumps surrounded by an area of red skin. It is not specifically associated with a nuchal cord.
Choice D rationale
Telangiectatic nevi, also known as “stork bites,” are common birthmarks seen in newborns, characterized by patches of pink or red skin. They are not specifically associated with a nuchal cord.

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A nurse manager is revising a policy in the maternal unit to ensure proper identification of newborns. What should the nurse include in the policy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client in the postpartum unit. What goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?

Correct Answer is C

Explanation

A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. What clinical findings should the nurse expect?

Correct Answer is A

Explanation

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