Ati Rn Community Health Proctored Exam ( 58 Questions)
A home health nurse is caring for a newborn
Nurses’ Notes
3 weeks old:
Follow up newborn weight check. Parent is smoking a cigarette in the living room while infant sleeps. Parent reports the newborn is breastfeeding well. The newborn is asleep in their bassinet in the living room. Newborn currently asleep in prone position. Parent reports that the newborn sleeps in their bassinet in the parents' bedroom overnight
Vital Signs
3 weeks old:
- Temperature 36.9° C (98.4" F)
- Heart rate 138/min
- Respiratory rate 42/min
The Correct Answers: Rationale
Correct Answer:
Rationale
- Parent is smoking a cigarette in the living room while infant sleeps: Secondhand smoke increases the newborn’s risk for sudden infant death syndrome (SIDS), respiratory infections, and asthma. Infants should not be in an environment where smoking occurs, especially while sleeping. The nurse should provide education and interventions to reduce smoke exposure and promote a safe sleep environment.
- Newborn currently asleep in prone position: Placing a newborn in the prone position to sleep significantly increases the risk of SIDS. The American Academy of Pediatrics recommends that infants sleep on their backs on a firm, flat surface with no soft bedding or objects. The nurse should educate the parent about safe sleep practices and reposition the infant to a supine position for all sleep periods.
- The newborn breastfeeding well is not a finding requiring further intervention because it indicates the infant is feeding adequately and having sufficient wet and dirty diapers, which are signs of good hydration and nutrition.
- Heart rate 138/min. This heart rate is normal for newborns whose normal range is 120-160bpm.
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