Nokea
A nurse is providing discharge instructions to a parent on preventing SIDS. What action by the parent signifies that they have effectively grasped what has been taught?
- A. The parent wraps the baby in layers of blankets.
- B. The parent puts several stuffed animals in the baby’s crib.
- C. The parent places the infant on the infant’s back to sleep.
- D. The parent sleeps or shares a bed with the infant.
Correct Answer: C
Rationale: Placing the infant on their back reduces SIDS risk.
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What characteristics are directly related to the newborn's decreased ability to maintain thermal stability?
- A. A neonate has decreased subcutaneous fat and a large body surface-to-weight ratio.
- B. The blood vessels in the neonate are farther from the skin than those of an adult.
- C. Newborns are unable to rely on brown adipose tissue for heat production.
- D. The newborn prefers to be in constant motion, increasing the surface area exposed to the environment.
Correct Answer: A
Rationale: Step-by-step rationale:
1. Subcutaneous fat provides insulation, so decreased fat leads to heat loss.
2. A larger body surface-to-weight ratio means more heat loss through the skin.
3. Both factors contribute to the newborn's decreased ability to maintain thermal stability.
4. Blood vessels being farther from the skin (choice B) does not impact thermal stability directly.
5. Brown adipose tissue (choice C) is actually important for heat production in newborns.
6. Constant motion (choice D) may increase heat loss but is not a primary factor in thermal stability for newborns.
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.
A new mother is preparing for discharge. She plans on bottle feeding her baby. Which statement indicates to the nurse that the mom needs more information about bottle feeding?
- A. I should encourage my baby to consume the entire amount of formula prepared for each feeding.'
- B. I can make up a 24-hour supply of formula and refrigerate the bottles so I am ready to feed my baby.'
- C. I will hold my baby in a cradle hold and alternate sides from left to right when I feed my baby.'
- D. I will generally feed my baby every 3 to 4 hours or more often as signs of hunger are displayed.'
Correct Answer: A
Rationale: The correct answer is A because it indicates a lack of understanding about infant feeding cues and responsive feeding. Encouraging a baby to consume the entire prepared amount can lead to overfeeding and disregards the baby's hunger and satiety cues. This approach may result in the baby being forced to finish the bottle, leading to potential issues such as obesity or feeding difficulties.
Choice B may seem convenient but is not recommended as formula should be prepared fresh to avoid bacterial contamination. Choice C describes a suitable feeding position but is not a crucial indicator of needing more information. Choice D reflects a good understanding of feeding frequency based on hunger cues, which aligns with responsive feeding practices.
Which hormone is essential for milk production?
- A. Estrogen
- B. Prolactin
- C. Progesterone
- D. Lactogen
Correct Answer: B
Rationale: The correct answer is B: Prolactin. Prolactin is the hormone essential for milk production in the mammary glands. It stimulates the production of milk by the alveoli in the breast tissue. Estrogen and progesterone are involved in the preparation of breast tissue during pregnancy, but they do not directly stimulate milk production. Lactogen is another name for human placental lactogen, which is not directly involved in milk production but plays a role in regulating maternal metabolism during pregnancy.
A faculty member explains to a nursing student that the best way to prevent hemorrhage from injuries in a neonate is which of the following?
- A. Administer vitamin K1 phytonadione (AquaMEPHYTON).
- B. Handle the infant carefully while wearing soft gloves.
- C. Keep the infant swaddled in several layers of blankets.
- D. Teach the parents how to trim the babys fingernails.
Correct Answer: A
Rationale: AquaMEPHYTON is given to newborns to promote normal blood clotting. The infants intestinal tract is sterile at birth and does not have the bacteria needed to create vitamin K