Nokea
A couple has decided not to circumcise their son. Based on this decision, which of the following instructions should the nurse include in the parent teaching?
- A. The couple should check their son’s temperature every evening because he will be high risk for urinary tract infections.
- B. The couple should fully retract the foreskin to assess for the presence of exudate every morning.
- C. The pediatrician will observe the baby void during each well-baby examination to assess for a phimosis.
- D. The prepuce should be cleansed with soap and water every day during the baby’s sponge bath.
Correct Answer: D
Rationale: Proper hygiene, including cleaning the uncircumcised penis with soap and water, helps prevent infections.
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A 6-month-old child has been diagnosed with a significant hearing loss. Which of the following complications that occurred immediately after delivery could have resulted in this condition?
- A. Necrotizing enterocolitis.
- B. Hypoglycemia.
- C. Bronchopulmonary dysplasia.
- D. Kernicterus.
Correct Answer: D
Rationale: Kernicterus, caused by severe jaundice, can lead to hearing loss due to bilirubin toxicity in the brain.
The nurse is providing patient teaching to a client who plans to bottle feed her newborn infant. Which of the following information should be included in the education session?
- A. The baby should be burped after every 3 ounces of formula.
- B. If the bottle nipple is not filled throughout the feeding, the baby may take in a large amount of air.
- C. The best way to heat formula for the baby is in the microwave.
- D. If the mother is busy with her other children, she can prop the baby bottle up on a blanket or towel.
Correct Answer: B
Rationale: The bottle nipple should be filled with formula throughout the feeding to prevent the baby from taking in air, which can cause discomfort and gas.
A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse’s primary objective?
- A. Screening
- B. Education
- C. Dependence
- D. Counseling
Correct Answer: B
Rationale: Health promotion and education are traditionally the primary objectives of home care, yet at present most patients receive home care because they need nursing care. Screening is preventive care. The home health nurse focuses on patient and family independence. Counseling is through psychiatric care.
A nurse is completing a minimum data set. Which area is the nurse working?
- A. Nursing center
- B. Psychiatric facility
- C. Rehabilitation center
- D. Adult day care center
Correct Answer: A
Rationale: Nurses who work in a nursing center (nursing home or nursing facility) are required to complete a minimum data set on each patient. Minimum data set is not needed for psychiatric, rehabilitation, or adult day care centers.
A breastfeeding client asks the nurse to make sure that her newborn is positioned and latched well at the breast. Which of the following assessments would indicate that the baby is poorly latched?
- A. The baby swallows after every suckle.
- B. The baby’s body is facing the mother’s body.
- C. The baby’s lower lip is curled under.
- D. The baby is lying at the level of the mother’s breasts.
Correct Answer: C
Rationale: A curled-under lower lip indicates poor latching, which can lead to ineffective feeding and nipple damage.