Nokea
A bottle-feeding mother is providing a return demonstration of how to burp the baby. Which of the following would indicate that the teaching was successful? Select one that doesn't apply
- A. The woman gently strokes and pats her baby's back.
- B. The woman positions the baby in a sitting position on her lap.
- C. The woman waits to burp the baby until the baby's feeding is complete.
- D. The woman states that a small amount of regurgitated formula is acceptable.
Correct Answer: C
Rationale: Burping during and after feeding is recommended to relieve gas.
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A nurse is providing anticipatory guidance to a couple before they take home their newborn. Which of the following should be included?
- A. If their baby is sleeping soundly
- B. they should not awaken the baby for a feeding.
- C. If they take their baby outside
- D. they should put sunscreen on the baby.
Correct Answer: C
Rationale: Acetaminophen is useful for fever or discomfort under medical supervision.
A postpartum patient asks, “Will these stretch marks ever go away?” Which is the nurse’s best response?
- A. “No, never.”
- B. “Yes, eventually.”
- C. “They will fade to silvery lines but won’t disappear completely.”
- D. “They will continue to fade and should be gone by your 6-week checkup.”
Correct Answer: C
Rationale: The correct answer is C: “They will fade to silvery lines but won’t disappear completely.” This response is the best because it provides a realistic expectation to the patient. Stretch marks may lighten over time but typically do not completely disappear. Choice A is incorrect as it provides a definitive and discouraging answer. Choice B is vague and does not offer a clear timeframe. Choice D is incorrect as it gives an overly optimistic timeline that may not be realistic for most individuals. Overall, choice C is the most accurate and supportive response for the patient's query.
A client who has been diagnosed with deep vein thrombosis has been ordered to receive 12 units heparin/min. The nurse receives a 500-mL bag of D5W with 20,000 units of heparin added from the pharmacy. At what rate in mL/hr should the nurse set the infusion pump? (Calculate to the nearest whole.)
- A. 30
- B. NA
- C. NA
- D. NA
Correct Answer: A
Rationale: Calculation: 12 units × 500 mL ÷ 20,000 units = 30 mL/hr.
The nurse is caring for a client, G3 P2002, whose infant has been diagnosed with a treatable birth defect. Which of the following is an appropriate statement for the nurse to make?
- A. Thank goodness. It could have been untreatable.
- B. I'm so happy that you have other children who are healthy.
- C. These things happen. They are the will of God.
- D. It is appropriate for you to cry at a time like this.
Correct Answer: D
Rationale: Validation of emotions is supportive.
A breastfeeding client calls her obstetrician stating that her baby was diagnosed with thrush and that her breasts have become infected as well. Which of the following organisms has caused the baby's and mother's infection?
- A. Staphylococcus aureus.
- B. Streptococcus pneumoniae.
- C. Escherichia coli.
- D. Candida albicans.
Correct Answer: D
Rationale: Candida causes thrush.