Nokea
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
- A. Decreased heart rate.
- B. Chin quivering.
- C. Pinpoint pupils.
- D. Slowed respirations.
Correct Answer: B
Rationale: Chin quivering is a sign of pain in newborns and should be addressed with appropriate pain management interventions.
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A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
- A. "The nurse will carry your baby in their arms to the nursery for scheduled procedures."
- B. "We will document the relationship of visitors in your medical record."
- C. "It's okay for your baby to sleep in the bed with you while in the hospital."
- D. "Staff members who take care of your baby will be wearing a photo identification badge."
Correct Answer: D
Rationale: Correct Answer: D
Rationale:
1. Staff wearing photo ID badges ensures proper identification for security.
2. Visual verification protects against unauthorized individuals caring for the baby.
3. ID badges indicate staff members have been vetted and authorized to care for newborns.
4. Promotes safety by ensuring only qualified individuals handle the baby.
Summary:
A: Carrying the baby to the nursery poses security risks and disrupts mother-infant bonding.
B: Documenting visitor relationships is important but does not directly address newborn security.
C: Co-sleeping with the baby in the hospital increases the risk of accidental suffocation.
D: Correct choice, as it directly addresses security and safety measures for the newborn.
E:
F:
G:
What is the recommended method of administering erythromycin ointment to a newborn?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: C
Rationale: The correct answer is C: Topical application. Administering erythromycin ointment to a newborn involves applying it directly to the eyes to prevent neonatal conjunctivitis. This method ensures direct contact with the affected area, allowing for maximum effectiveness while minimizing systemic absorption and potential side effects. Intramuscular or subcutaneous injections are not appropriate for ointment administration, as they are meant for liquid medications. Oral administration would not target the eyes specifically. It is crucial to follow recommended guidelines to ensure the newborn's safety and effective treatment.
Which of the following findings should the nurse report to the provider? (Select all that apply.)
- A. Coombs test result
- B. Mucous membrane assessment
- C. Intake and output
- D. Respiratory rate
- E. Head assessment finding
- F. Heart rate
- G. Sclera color
Correct Answer: A,B,C,G
Rationale:
What is the recommended method of screening for gestational diabetes?
- A. Random blood glucose test
- B. Fasting blood glucose test
- C. Oral glucose tolerance test
- D. Hemoglobin A1C test
Correct Answer: C
Rationale: The correct answer is C: Oral glucose tolerance test. This test involves fasting overnight, then drinking a sugary solution and measuring blood glucose levels at intervals. It is the gold standard for diagnosing gestational diabetes due to its ability to detect glucose intolerance. A: Random blood glucose test is not recommended as it may not provide an accurate assessment. B: Fasting blood glucose test alone may miss cases of gestational diabetes. D: Hemoglobin A1C test is not recommended for diagnosing gestational diabetes.
What is the recommended method of administering vitamin K to a newborn?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: A
Rationale: The correct method is A: Intramuscular injection. This route ensures rapid and reliable absorption of vitamin K, crucial for preventing bleeding disorders in newborns. Oral administration may be less effective due to variable absorption. Topical application is not recommended as it may not provide sufficient absorption. Subcutaneous injection can lead to variable absorption rates and is not as reliable as the intramuscular route for vitamin K administration.