Nursing Care of the Newborn Quizlet

Nursing Care of the Newborn Quizlet Related

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A mother is breastfeeding her newborn son and is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint. The ideal nursing response would be to

  • A. tell the patient to wear a bra at all times to provide more support to breast tissue.
  • B. have the patient put the infant to her breast more frequently.
  • C. place ice packs on breast tissue after infant feeding.
  • D. explain that this is a normal finding and will resolve as her breast tissue becomes more used to nursing.
Correct Answer: B

Rationale: Step 1: Breast tenderness and fullness between feedings indicate engorgement, a common issue in breastfeeding mothers.
Step 2: Putting the infant to the breast more frequently helps empty the breast and prevents engorgement.
Step 3: Regular feeding stimulates milk production and prevents discomfort.
Step 4: This approach is effective in addressing the underlying issue of engorgement.
Summary:
A: Wearing a bra at all times may not address the root cause of engorgement.
C: Ice packs can provide temporary relief but do not prevent engorgement.
D: Normalizing the issue without providing a solution does not address the discomfort.

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What organization developed the CJMM?

  • A. ACOG
  • B. ANA
  • C. AWHONN
  • D. NCSBN
Correct Answer: D

Rationale: The National Council of State Boards of Nursing (NCSBN) developed the Clinical Judgment Measurement Model (CJMM).

A nurse is providing discharge teaching to parents of a newborn. The baby had no medical problems and is healthy other than having failed an automated auditory brainstem response (AABR) hearing test conducted in the nursery. What information does the nurse provide?

  • A. AABR tests are conclusive and the baby is deaf.
  • B. Background noise may have interfered with the test.
  • C. The babys hearing should be retested within 1 month.
  • D. The baby should have another hearing test next week.
Correct Answer: C

Rationale: Babies who fail a hearing screening test at birth should have a follow-up test within a month. The AARB test can be conducted in the presence of background noise. The results are not conclusive (it is a screening device)

What steps are included in the QSEN steps for rewarming a neonate at risk for cold stress? Select all that apply.

  • A. placing the neonate under the radiant warmer
  • B. putting a pulse oximeter on the neonate
  • C. assessing a blood glucose level
  • D. calling the NICU team for assessment
Correct Answer: A

Rationale: Steps include placing the neonate under a radiant warmer and assessing blood glucose levels.

The nurse notes swelling in the scrotum of a newborn infant. Transillumination reveals a reddish-yellow reflection. What action by the nurse is best?

  • A. Document the findings and reassure the parents.
  • B. Elevate the scrotum and apply ice for 20 minutes.
  • C. Notify the health-care provider immediately.
  • D. Obtain informed consent for emergent surgery.
Correct Answer: A

Rationale: When the nurse assesses a swollen scrotum, it is important to determine that the scrotal sac does not contain entrapped bowel or a mass. Transillumination can determine the presence of a mass when the light directed at the scrotum does not produce a reflection. A reddish-yellow reflection indicates fluid, which will be reabsorbed on its own. The nurse should document the findings and reassure the parents. No further action is needed.

A breastfeeding mother asks the postpartum nurse if any supplementation is necessary once her breast milk comes in. What is the nurse's most appropriate response?

  • A. Are you concerned about your ability to adequately nurse your baby?'
  • B. Do you eat a well-balanced diet, high in protein and carbohydrates?'
  • C. Breast milk is low in vitamin D and supplementation with 400 IU is recommended.'
  • D. Your breast milk has all the vitamins and will adequately meet your baby's needs.'
Correct Answer: C

Rationale: The correct answer is C because breast milk is indeed low in vitamin D, and supplementation with 400 IU is recommended to ensure the baby's needs are met. Choice A is incorrect as it focuses on the mother's concerns rather than the baby's nutritional needs. Choice B is irrelevant to the specific question about vitamin supplementation. Choice D is incorrect as breast milk lacks sufficient vitamin D, necessitating supplementation.

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