Nokea
A mother asks the nurse which powder she should purchase to use on the baby's skin. What should the nurse's response be?
- A. Any powder made especially for babies should be fine.
- B. It is recommended that powder not be put on babies.
- C. There is no real difference except that many babies are allergic to cornstarch so it should not be used.
- D. As long as you put it only on the buttocks area
Correct Answer: B
Rationale: Powder use is discouraged due to inhalation risks.
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The nurse is discussing the neonatal blood screening test with a new mother. The nurse knows that the teaching was successful when the mother states that the test screens for the presence in the newborn of which of the following diseases? Select one that doesn't apply
- A. Hypothyroidism.
- B. Sickle cell disease.
- C. Galactosemia.
- D. Cerebral palsy.
Correct Answer: D
Rationale: These are common conditions screened for in neonatal blood tests; cerebral palsy is not typically screened through blood tests.
A breastfeeding woman calls the pediatric nurse with the following complaint:"I woke up this morning with a terrible cold. I don't want my baby to get sick. Which kind of formula should I have my husband feed the baby until I get better?" Which of the following replies by the nurse is appropriate at this time?
- A. Any formula brand is satisfactory, but it is essential that it be mixed with water that has been boiled for at least 5 minutes.
- B. Don't forget to pump your breasts every 3 hours while the baby is being fed the prescribed formula.
- C. The best way to keep your baby from getting sick is for you to keep breastfeeding him rather than switching him to formula.
- D. In addition to giving the baby formula, you should wear a surgical face mask when you are around him.
Correct Answer: C
Rationale: Breastfeeding provides antibodies to protect the baby.
It is time for a baby who is in the drowsy behavioral state to breastfeed. Which of the following techniques could the mother use to arouse the baby? Select one that doesn't apply
- A. Swaddle or tightly bundle the baby.
- B. Hand express milk onto the baby's lips.
- C. Talk with the baby while making eye contact.
- D. Remove the baby's shirt and change the diaper.
Correct Answer: A
Rationale: Stimulating the baby with milk, voice, or tactile changes can encourage feeding.
The nurse includes the addition of ice sitz baths for the postpartum patient. Which assessment finding indicates the treatment has been effective?
- A. No swelling or edema to the perineal area
- B. Patient complains that the sitz bath is too col
- C. Patient reports she took two sitz baths in 12 hours.
- D. Edges of the perineal laceration are well approximate
Correct Answer: A
Rationale: The correct answer is A because the absence of swelling or edema to the perineal area indicates that the ice sitz baths have been effective in reducing inflammation and promoting healing. Swelling and edema are common postpartum, and the use of ice sitz baths can help reduce these symptoms.
Choice B is incorrect because the patient complaining that the sitz bath is too cold does not provide information on the effectiveness of the treatment, only the patient's comfort level.
Choice C is incorrect because the frequency of sitz baths does not necessarily indicate effectiveness. It is more important to assess the outcomes of the treatment rather than the number of baths taken.
Choice D is incorrect because the approximation of perineal laceration edges may be influenced by other factors such as suturing technique, rather than the effectiveness of the ice sitz baths.
The nurse is caring for a postpartum patient who delivered by the vaginal route 12 hours ago. Which assessment finding should the nurse report to the health care provider?
- A. Pulse rate of 50
- B. Temperature of 38C (100.4F)
- C. Firm fundus, but excessive lochia
- D. Lightheaded when moving from a lying to standing position
Correct Answer: A
Rationale: Correct Answer: A - Pulse rate of 50
Rationale:
1. A normal postpartum pulse rate is 60-100 bpm.
2. A pulse rate of 50 is below normal range, indicating potential bradycardia.
3. Bradycardia can be a sign of postpartum hemorrhage or other complications.
4. Reporting this finding promptly can help in early intervention.
Summary:
B: A temperature of 38C (100.4F) could indicate infection but is within normal postpartum range.
C: A firm fundus with excessive lochia may indicate uterine atony, but is not as urgent as bradycardia.
D: Feeling lightheaded when changing positions is common postpartum but not as concerning as a low pulse rate.