Nokea
A mother worries about her infant feeling pain during a heel stick for a blood test. What action by the nurse is best?
- A. Encourage breastfeeding during the heel stick.
- B. Ice the infants heel prior to the blood draw.
- C. Massage the infants heel after the needle stick.
- D. Reassure the mother that infants dont feel pain.
Correct Answer: A
Rationale: Infants feel pain and remember painful procedures. Breastfeeding has been shown to be an effective
You may also like to solve these questions
A patient with blood group AB, whose husband has blood group O, has recently given birth. What is the main complication or test result to watch for in the newborn concerning ABO incompatibility?
- A. negative Coombs test
- B. bleeding from the nose and ear
- C. jaundice after the first 24 hours of life
- D. jaundice within the first 24 hours of life
Correct Answer: D
Rationale: Jaundice appearing within the first 24 hours suggests ABO incompatibility.
The nurse is watching new parents suction their newborn. The baby begins gagging. What action should the nurse demonstrate to the parents?
- A. Pick the baby up and comfort her.
- B. Place the baby on her back.
- C. Turn the babys head to the side.
- D. Wipe secretions out with a cloth.
Correct Answer: C
Rationale: If the baby begins gagging or vomitingIf the baby begins gagging or vomiting the parents (or nurse) should position the infants head to the side or downward to prevent aspiration. The other actions are not appropriate.
What is acrocyanosis in the newborn?
- A. a mildly blue or purple color of the hands and feet when the newborn is cold
- B. a common occurrence in the first few weeks of life
- C. a bluish-gray coloring around the nose and mouth in the first few hours of life as the newborn adjusts to extrauterine circulation.
- D. a bluish color to the infant’s face when the infant is resting quietly, which lasts throughout most of the first day after birth
Correct Answer: A
Rationale: Acrocyanosis refers to mild bluish discoloration of the extremities due to immature circulatory adaptation.
A breastfeeding mother asks the postpartum nurse if any supplementation is necessary once her breast milk comes in. What is the nurse's most appropriate response?
- A. Are you concerned about your ability to adequately nurse your baby?'
- B. Do you eat a well-balanced diet, high in protein and carbohydrates?'
- C. Breast milk is low in vitamin D and supplementation with 400 IU is recommended.'
- D. Your breast milk has all the vitamins and will adequately meet your baby's needs.'
Correct Answer: C
Rationale: The correct answer is C because breast milk is indeed low in vitamin D, and supplementation with 400 IU is recommended to ensure the baby's needs are met. Choice A is incorrect as it focuses on the mother's concerns rather than the baby's nutritional needs. Choice B is irrelevant to the specific question about vitamin supplementation. Choice D is incorrect as breast milk lacks sufficient vitamin D, necessitating supplementation.
The nurse is assigned to the postpartum room of a 12-hour-old neonate, and the EHR has a task reminder prompting the nurse to complete a Brazelton assessment on the newborn. Why is this not appropriate?
- A. This newborn has been born to a person who is placing the infant up for adoption.
- B. This newborn has been born to a person who birthed by cesarean section.
- C. This newborn is only 12 hours old.
- D. This newborn is experiencing pathologic jaundice.
Correct Answer: C
Rationale: The Brazelton Neonatal Behavioral Assessment Scale is typically performed after 24–48 hours of life.