Nokea
A mother expresses fear about changing her infant’s diaper after he is circumcised. What does the mother need to be taught to take care of the infant when she gets home.
- A. Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours
- B. Apply constant, firm pressure by squeezing the penis with the fingers for at least 5 minutes if bleeding occurs
- C. Cleanse the penis gently with water and put petroleum jelly around the glans after each diaper change
- D. Wash off the yellow exudate that forms on the glans at least once every day to prevent infection.
Correct Answer: C
Rationale: Gentle cleansing with water and application of petroleum jelly protects the healing tissue and prevents irritation or sticking to the diaper.
You may also like to solve these questions
In order to promote thermal stabilization in a neonate
- A. which action by the nurse is best?
- B. Lay the infant in an incubator.
- C. Place the infant in skin-to-skin contact with the mom.
- D. Put a knitted cap on the babys head.
Correct Answer: B
Rationale: All options will help the baby maintain a normal temperature but ideally the nurse places the infant in skin-to-skin contact on the mothers abdomen.
After birth, the nurse immediately dries a neonate’s face and hair with a clean, prewarmed towel. After drying, the nurse covers the neonate’s hair with a cap. What type of heat loss is the nurse preventing?
- A. convection
- B. conduction
- C. evaporation
- D. radiation
Correct Answer: C
Rationale: Covering the neonate's head prevents heat loss through evaporation of moisture from the scalp.
The nurse enters the room of a patient who just gave birth 2 days ago to a healthy newborn. The nurse asks her what her newborn's name is and she shrugs and says, 'I haven't thought about a name yet.' What priority is the nurse most concerned about with this patient?
- A. The patient has not transitioned from the fourth stage of labor.
- B. Parent-to-newborn attachment may be a concern.
- C. The mother may be contemplating suicide.
- D. Different cultural practices.
Correct Answer: B
Rationale: The correct answer is B: Parent-to-newborn attachment may be a concern. The nurse is most concerned about the lack of bonding or attachment between the mother and her newborn, as indicated by the mother not having thought about a name yet. This lack of interest or engagement with the newborn could potentially impact the mother's ability to form a healthy attachment, which is crucial for the newborn's well-being. The nurse should prioritize assessing and supporting the mother in developing a bond with her baby.
Choices A, C, and D are incorrect:
A: The patient not naming the newborn does not indicate she has not transitioned from the fourth stage of labor.
C: There is no evidence to suggest that the mother may be contemplating suicide based solely on her not naming the newborn.
D: Different cultural practices do not seem to be the primary concern in this scenario compared to the potential lack of parent-to-newborn attachment.
The nurse is assessing the laboratory report on a 2-day post partum. The woman has had a normal post partum assessment this morning. Which of the following results should the nurse report to the provider?
- A. White blood cells 12,500 cells/mm
- B. Red blood cells 4,500,000 cells/mm
- C. Hematocrit 26%
- D. Hemoglobin 11g/dl
Correct Answer: C
Rationale: A hematocrit of 26% is abnormally low, indicating significant anemia, which requires further evaluation.
The nurse is assigned to the room of a 15-year-old person who gave birth to a newborn 72 hours ago. Why is this newborn a perfect candidate for the Brazelton assessment?
- A. This parent-newborn couplet is at risk for delayed attachment.
- B. The newborn is likely going home soon.
- C. The EHR is prompting her to do so.
- D. The infant is likely withdrawing from a substance.
Correct Answer: A
Rationale: The correct answer is A because the Brazelton assessment is used to evaluate the newborn's neurobehavioral development and ability to interact with the environment. In this case, the 15-year-old parent may be at risk for delayed attachment due to her age and the circumstances of giving birth. The assessment can help identify any issues early on and provide appropriate interventions.
Choice B is incorrect because the timing of when the newborn is going home is not relevant to the Brazelton assessment. Choice C is incorrect as the Electronic Health Record (EHR) prompting is not a valid reason to conduct the assessment. Choice D is incorrect as there is no indication that the infant is withdrawing from a substance.