Nokea
A nurse is transporting a newborn to their parents from the nursery. Which of the following actions should the nurse perform to confirm the newborn's identity?
- A. Ask a parent to state the newborn's date of birth.
- B. Check the newborn's footprint sheet with the medical record.
- C. Request a parent to verify the newborn's name.
- D. Compare numbers on the newborn's band to the parent's band.
Correct Answer: D
Rationale: Comparing the identification numbers on the newborn's band with the parent's band is the most reliable method to confirm identity, ensuring the newborn is matched with the correct parent(s) and preventing mix-ups or abduction.
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A nurse is assisting with the admission of a client who has hyperemesis gravidarum.
Which of the following laboratory tests is the priority to complete?
- A. Serum bilirubin
- B. Liver enzymes
- C. Urinalysis for ketones
- D. CBC
Correct Answer: C
Rationale: Urinalysis for ketones is the priority to assess dehydration and ketosis from severe vomiting in hyperemesis gravidarum, guiding immediate treatment to prevent complications.
A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test.
Which of the following statements should the nurse make?
- A. You will not be able to eat or drink anything for 8 hours prior to the test.
- B. You will be required to lie flat on your back for the duration of the test
- C. You will receive medication through an IV line to stimulate contractions.
- D. You will press the provided button when you feel the baby moving during the test.
Correct Answer: D
Rationale: Pressing a button when feeling fetal movement during a nonstress test correlates movement with heart rate changes, assessing fetal well-being accurately.
A nurse is reinforcing teaching with a client about various contraceptive methods. Which of the following statements should the nurse include in the teaching?
- A. You will need to receive a medroxyprogesterone acetate injection once per month.
- B. Combined estrogen-progestin contraceptive pills cause longer periods.
- C. Oral contraceptives decrease the risk for endometrial cancer.
- D. You will need to have your diaphragm replaced every 4 years.
Correct Answer: C
Rationale: Oral contraceptives, particularly combined ones, decrease endometrial cancer risk, an important benefit to include in teaching about contraception.
A nurse is reinforcing teaching about car seat safety with a parent of a newborn.
Which of the following statements by the parent indicates an understanding of the teaching?
- A. I should place my baby in the car seat at a 90-degree angle.
- B. I will place a thick, soft pad behind my baby's back.
- C. I can turn the car seat so it faces forward when my baby weighs 15 pounds.
- D. I will place the retainer clip at the level of my baby's armpits
Correct Answer: D
Rationale: Placing the retainer clip at the armpit level ensures proper harness positioning, providing optimal protection in a crash, indicating understanding of car seat safety.
A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding.
Which of the following instructions should the nurse include?
- A. Wear an underwire bra between feedings.
- B. You should use a breast pump if you plan to return to work.
- C. Wash your nipples with soap and water daily.
- D. Cover your breasts immediately after feedings.
Correct Answer: B
Rationale: Using a breast pump prevents engorgement when returning to work, reducing mastitis risk by maintaining milk flow and supply.