Nokea
A first-time mother reports that she is experiencing difficulty breastfeeding her newborn. Which neonatal reflex would the nurse teach the mother to elicit to facilitate breastfeeding?
- A. Sucking
- B. Rooting
- C. Grasping
- D. Tonic neck
Correct Answer: B
Rationale: The rooting reflex causes the infant's head to turn in the direction of anything that touches the cheek in anticipation of food, aiding breastfeeding.
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What statement indicates the parent understands the guidelines for bathing a newborn?
- A. I'll use a mild soap to clean all of the body parts.'
- B. I am going to add bath oil to the water to keep the baby's skin soft.'
- C. I should shampoo the head after washing the rest of the body.'
- D. I'll wash from the feet upward and change the washcloth for the face.'
Correct Answer: C
Rationale: Shampooing is done last to prevent heat loss from the large surface area of the head.
What is the nurse's first action?
- A. Place the tip in the nose and squeeze the bulb gently.
- B. Suction secretions from the nose before the mouth.
- C. Depress the bulb before inserting the syringe tip into the mouth.
- D. Insert the tip into the back of the mouth to reach mucus.
Correct Answer: C
Rationale: The bulb is depressed before inserting the tip into the mouth and then the nose to create suction for clearing mucus.
What information will the nurse provide when educating this patient on alendronate (Fosamax)?
- A. Drink 8 oz. of water following dosage.
- B. Lay down for 30 minutes after taking.
- C. This medication has no known side effects.
- D. Avoid weight-bearing exercises.
Correct Answer: A
Rationale: Alendronate (Fosamax) may cause esophageal and gastric irritation. The patient should drink 8 ounces of plain water and sit upright for 30 minutes after taking the drug and before eating. Weight-bearing exercises are advisable, and high-impact exercises should be avoided.
What will the nurse expect when assessing the anterior fontanelle of a healthy, full-term newborn?
- A. Depressed and sunken
- B. Triangular shaped
- C. Smaller than the posterior fontanelle
- D. Open and diamond shaped
Correct Answer: D
Rationale: The anterior fontanelle is diamond shaped, located at the junction of the two parietal and two frontal bones, and should not be raised or sunken. It closes between 12 and 18 months.
The nurse reminds new parents that newborns must be protected from environments that are too cold or too hot because of which aspects of their physiology?
- A. Very little subcutaneous fat
- B. Low metabolic rates
- C. Ineffective sweat glands
- D. Small fluid reserves
- E. Low red blood cell counts
Correct Answer: A,C
Rationale: Newborns have very little subcutaneous fat and ineffective sweat glands, making them susceptible to thermal stress.