Nokea
A mother asks whether or not she should be concerned that her baby never opens his mouth to breathe when his nose is so small. Which of the following is the nurse's best response?
- A. The baby does rarely open his mouth but you can see that he isn't in any distress.
- B. Babies usually breathe in and out through their noses so they can feed without choking.
- C. Everything about babies is small. It truly is amazing how everything works so well.
- D. You are right. I will report the baby's small nasal openings to the pediatrician right away.
Correct Answer: B
Rationale: Nasal breathing is normal in newborns to allow simultaneous feeding and breathing.
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A rubella nonimmune, breastfeeding client has just received the rubella vaccine. Which of the following side effects should the nurse warn the client about?
- A. The baby may develop a rash a week after the shot.
- B. The baby may temporarily reject the breast milk.
- C. The mother's milk supply may decrease precipitously.
- D. The mother's joints may become painful and stiff.
Correct Answer: D
Rationale: Rubella vaccine may cause joint pain as a side effect.
Research has shown that with lesbian parents, the non-birthing person can feel role resentment, exclusion from health-care services, and feelings of neglect. How can the nurse include the non-birthing partner?
- A. Ask the person to leave the room during the newborn assessment.
- B. Educate the person to leave the feeding up to the birthing person.
- C. Demonstrate newborn care to both parents.
- D. Ask the person’s family how they feel about their relationship.
Correct Answer: C
Rationale: The correct answer is C: Demonstrate newborn care to both parents. This option promotes inclusivity and involvement of both parents in caring for the newborn, addressing feelings of neglect and exclusion. It allows the non-birthing partner to actively participate in the care process, fostering bonding and reducing role resentment.
A: Asking the person to leave the room during the newborn assessment isolates and excludes them, exacerbating feelings of neglect.
B: Educating the person to leave feeding to the birthing person further marginalizes them and does not address their emotional needs.
D: Asking the person's family about their relationship does not directly involve the non-birthing partner and does not address their feelings of exclusion.
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.
Cloxacillin 500 mg by mouth four times per day for 10 days has been ordered for a client with a breast abscess. The client states that she is unable to swallow pills. The oral solution is available as 125 mg/5 mL. How many mL of medicine should the woman take per dose? (Calculate to the nearest whole.)
- A. 20
- B. NA
- C. NA
- D. NA
Correct Answer: A
Rationale: Calculation: 500 mg ÷ 125 mg × 5 mL = 20 mL.
A nurse is providing discharge teaching to the parents of a newborn. Which of the following should be included when teaching the parents how to care for the baby's umbilical cord?
- A. Cleanse it with hydrogen peroxide if it starts to smell.
- B. Remove it with sterile tweezers at one week of age.
- C. Call the doctor if greenish drainage appears.
- D. Cover it with sterile dressings until it falls off.
Correct Answer: C
Rationale: Greenish drainage indicates infection and requires medical attention.