A nurse on a maternal newborn unit is assisting with the preparation of an in-service presentation about infection control. Which of the following information should the nurse recommend to include?

Infant bassinets should be positioned 24 in (2 feet) apart

Staﬀ should avoid using alcohol-based hand rubs to perform hand hygiene

Visitors who have an upper respiratory infection should wear a mask

Pumped breastmilk can be left at room temperature for 6 hr

Answer and Explanation

The Correct Answer is C

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Correct Answer is C

Explanation

Echolalia is the repetition of words or phrases spoken by others. In this case, the client is repeating the nurse's question, "How are you?" This is an example of echolalia.

a) "I am lovistrated" is an example of neologism, which is the creation of new words.

b) "Super, trooper, and duper" is an example of clang association, which is the use of words that sound alike but have no logical connection.

d) "Pink spots in Africa" is an example of a thought disorder, which is a disruption in the organization and expression of thoughts.

A. Turn the newborn's head quickly to one side while they are sleeping. B. Place a finger in the newborn's palm. C. Clap hands after laying the newborn on a ﬂat surface. D. Hold the newborn upright with one foot touching the crib surface.

Correct Answer is C

Explanation

To elicit the Moro reﬂex, the nurse should clap hands after laying the newborn on a ﬂat surface. The Moro reﬂex, also known as the startle reﬂex, is an involuntary motor response that infants develop shortly after birth. Loud noises and sudden movements can trigger a baby’s Moro reﬂex.

Option a is incorrect because turning the newborn's head quickly to one side while they are sleeping may not elicit the Moro reﬂex.

Option b is incorrect because placing a finger in the newborn's palm may elicit the grasp reﬂex, not the Moro reﬂex.

Option d is incorrect because holding the newborn upright with one foot touching the crib surface may not elicit the Moro reﬂex.

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A nurse on a maternal newborn unit is assisting with the preparation of an in-service presentation about infection control. Which of the following information should the nurse recommend to include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health unit asks a client who has schizophrenia, "How are you?" Which of the following responses should the nurse identify as the speech alteration of echolalia?

Correct Answer is C

Explanation

A nurse in the newborn nursery is collecting data about a newborn's Moro reﬂex. Which of the following actions should the nurse take to elicit this reﬂex?

Correct Answer is C

Explanation

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