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A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
- A. I can use a sleep sack to keep my baby warm in the car seat.'
- B. My baby will need a car seat challenge test before discharge.'
- C. The car seat should be positioned in the car at a 45-degree angle.'
- D. When my baby is 1 year old, I can turn their car seat facing forward.'
Correct Answer: C
Rationale: The correct answer is C because positioning the car seat at a 45-degree angle is important for newborns to prevent their head from falling forward and potentially obstructing their airway. This angle helps keep the baby safe and secure during the ride.
Choice A is incorrect because using a sleep sack in the car seat can interfere with the harness straps and compromise the baby's safety.
Choice B is incorrect as a car seat challenge test is conducted for preterm infants, not infants born at 38 weeks of gestation.
Choice D is incorrect because it is recommended to keep infants in a rear-facing position until they reach the height or weight limit specified by the car seat manufacturer, typically around 2 years old.
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A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?
- A. Provide the newborn with 15 mL glucose water after each feeding.
- B. Turn the newborn every 4 hr.
- C. Apply hydrating lotion to the newborn’s skin prior to treatment.
- D. Close the newborn's eyes before applying eyepatches.
Correct Answer: D
Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches. This is important to prevent damage to the eyes from the bright light used in phototherapy. Infants' eyes are sensitive, and prolonged exposure can lead to eye damage. Option A is incorrect as glucose water is not indicated for jaundice treatment. Option B is incorrect as turning the newborn every 4 hours is not specific to phototherapy treatment. Option C is incorrect as hydrating lotion is not necessary for phototherapy. Therefore, the crucial step of closing the newborn's eyes before applying eyepatches is essential for protecting the eyes during phototherapy.
The nurse is teaching the client about postpartum depression. The nurse should encourage the client to----------------- and ----------------- to help prevent postpartum depression.
- A. Engage in regular physical activity
- B. Maintain a strong support system
- C. Get adequate rest and sleep
- D. Eat a well-balanced diet
Correct Answer:
Rationale: Correct Answer: C: Get adequate rest and sleep
Rationale:
1. Sleep deprivation is a common trigger for postpartum depression.
2. Adequate rest and sleep help regulate mood and reduce stress levels.
3. Lack of sleep can worsen depressive symptoms.
4. Rest and sleep are essential for physical and emotional recovery postpartum.
Summary:
A: Engaging in physical activity is beneficial but not directly linked to preventing postpartum depression.
B: While a support system is important, it may not solely prevent postpartum depression.
D: Eating a well-balanced diet is crucial for overall health but not the primary focus for preventing postpartum depression.
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
- A. Abdominal pain.
- B. Greenish discharge.
- C. Diabetes.
- D. Pain on urination.
- E. Absence of condom.
Correct Answer: B, D
Rationale: The correct answer is B, D . Abdominal pain (A) is not specific to any of the given conditions. Diabetes (C) is not directly related to the assessment findings provided. Absence of condom (E) is not an assessment finding, but a behavior. Trichomoniasis is characterized by greenish discharge, and pain on urination can be a symptom of both gonorrhea and trichomoniasis.
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
- A. Temperature 37.4°C (99.3°F)
- B. WBC count 9,000/mm3
- C. Uterine tenderness
- D. Scant lochia
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Endometritis is characterized by inflammation of the inner lining of the uterus, which results in uterine tenderness. This finding is significant in postpartum clients as it indicates an infection in the uterus. A: Temperature within normal range is not a specific indicator of endometritis. B: WBC count within normal limits is not a specific indicator of endometritis. D: Scant lochia may be present in postpartum clients without endometritis.
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
- A. Oatmeal
- B. Cabbage
- C. Asparagus
- D. Lentils
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have a high fiber content, providing about 15.6 grams of fiber per cooked cup. This high fiber content can help alleviate constipation in the antepartum client. Oatmeal, cabbage, and asparagus have lower fiber content compared to lentils. Oatmeal contains around 4 grams of fiber per cup, cabbage has about 2 grams per cup, and asparagus provides about 3 grams of fiber per cup. Therefore, lentils offer the highest fiber content per cup among the options provided, making them the most suitable choice to address constipation in the antepartum client.