The NICU nurse observes the parents of a newborn admitted two days ago for prematurity. The nurse knows infection prevention education has been effective when which observation is made:

Inviting family members to visit the newborn.

Wearing gloves when touching and holding the newborn.

Washing their hands before touching the newborn.

Avoiding direct contact with the newborn.

Answer and Explanation

The Correct Answer is C

Hand hygiene is one of the most important infection prevention strategies in the NICU, and parents and visitors should be encouraged to wash their hands frequently, especially before touching the newborn. While wearing gloves can provide an additional barrier against infection, it is not a substitute for hand hygiene. Family members should be encouraged to visit and bond with their newborn, but they should be taught proper infection prevention measures to protect the infant's health. Avoiding direct contact with the newborn is not necessary as long as appropriate infection-prevention measures are taken.

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Correct Answer is C

Explanation

A CS4 who has had three prior lower transverse cesarean sections is at the highest risk for uterine rupture. The risk of uterine rupture increases with each subsequent cesarean section, and a history of three or more prior lower transverse cesarean sections is considered a significant risk factor for uterine rupture.

A. Kangaroo care was adopted from classical British nursing traditions. B. This intervention helps infants with motor and CNS impairments. C. This intervention gets infants ready for breastfeeding. D. Kangaroo care helps infants interact directly with their parents and enhances their temperature regulation.

Correct Answer is D

Explanation

Kangaroo care is skin-to-skin contact between a newborn and parent(s) that helps regulate the infant's temperature, respiratory and heart rates, and enhances parent-infant bonding.

It is recommended for all infants, regardless of their gestational age or health status, and has been found to improve outcomes for premature and low-birth-weight infants. Kangaroo care is not specifically designed to address motor and CNS impairments, nor is it adopted from classical British nursing traditions. While it may help prepare infants for breastfeeding, this is not the primary goal of the intervention.

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The NICU nurse observes the parents of a newborn admitted two days ago for prematurity. The nurse knows infection prevention education has been effective when which observation is made:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following patients is most at risk for uterine rupture?

Correct Answer is C

Explanation

A nurse practicing in the perinatal setting should promote kangaroo care regardless of an infant's gestational age. Which statement regarding this intervention is most appropriate?

Correct Answer is D

Explanation

The nursery nurse attends the delivery of a post-term infant. Upon initial assessment, the infant is lethargic, has coarse breath sounds and blood gases indicate acidosis. An X-ray shows a honeycomb appearance. These signs are consistent with which complication of the newborn?

You are the Special Care Nursery nurse reviewing the chart of a 36-hour-old neonate who was born at 36 weeks. Do you understand which of the following would place the neonate at risk for physiologic jaundice?

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:

Which client is displaying health literacy at the basic functional level?

An infant is in the NICU whose mother was addicted to opioids during pregnancy. The nurse knows that the most appropriate nursing intervention to help with the infant's hyperreflexia is:

Which of the following complications is not associated with cesarean births?

The public health nurse wants to assess potential environmental health issues within a particular district. Which of the following would the nurse include in the assessment?

The postpartum nurse identifies a newborn born to a mother positive for hepatitis B. The nurse reports the birth to the department of health for data collection. This is an example of: