Nokea
A student nurse is verbalizing disappointment in a new mothers seeming lack of interest in her newborn baby. The student complains to the registered nurse that the mother just wants to sleep and have someone else care for the infant. What response by the registered nurse is best?
- A. Assess closely; we may need to call social work.
- B. Dont judge other people until you have had a baby.
- C. The mother may be completely exhausted from the childbirth experience.
- D. We have to accept that everyones experience is different.
Correct Answer: C
Rationale: After a long and possibly difficult birth
You may also like to solve these questions
A nurse is planning discharge needs to a family whose baby has just been born. Which statement is the most accurate regarding care of the umbilical cord?
- A. Wash the newborn every day in a shallow tub of water.
- B. Rinse the umbilical cord with water and soap until it falls off.
- C. Notify the practitioner if the umbilical cord is still in place after 1 week.
- D. Swab the umbilical cord with alcohol or water daily until it falls off.
Correct Answer: D
Rationale: The correct answer is D. Swabbing the umbilical cord with alcohol or water daily until it falls off is the recommended care to prevent infection. Alcohol helps dry out the cord stump, promoting faster healing.
- A: Washing the newborn every day in water can introduce bacteria and moisture to the cord, increasing infection risk.
- B: Using soap on the umbilical cord can irritate the skin and delay healing.
- C: It's normal for the umbilical cord to fall off within 1-2 weeks, so there's no need to notify the practitioner unless there are signs of infection.
The Apgar assessment tells the nurses and clinicians on the labor and delivery unit what information about the newborn?
- A. The Apgar assessment and score tells the team how the newborn is doing neurologically and physically after the birth.
- B. The Apgar assessment and score predicts the newborn's overall morbidity and mortality moving forward after birth.
- C. The Apgar assessment and score tells the team how the newborn is transitioning to the extrauterine world after birth.
- D. The Apgar assessment and score tells the team how the newborn handled the birth overall.
Correct Answer: C
Rationale: Rationale: The correct answer is C because the Apgar assessment and score specifically evaluate how well the newborn is transitioning to the outside world after birth. The Apgar score assesses the newborn's heart rate, respiratory effort, muscle tone, reflex irritability, and color. These parameters provide crucial information about the baby's initial adaptation to life outside the womb. Option A is incorrect because it oversimplifies the assessment by focusing only on neurological and physical aspects. Option B is incorrect because the Apgar score is not intended to predict long-term morbidity and mortality. Option D is incorrect as it does not encompass the full scope of the Apgar assessment, which is primarily concerned with the immediate transition of the newborn to extrauterine life.
A mother is breastfeeding her newborn son and is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint. The ideal nursing response would be to
- A. tell the patient to wear a bra at all times to provide more support to breast tissue.
- B. have the patient put the infant to her breast more frequently.
- C. place ice packs on breast tissue after infant feeding.
- D. explain that this is a normal finding and will resolve as her breast tissue becomes more used to nursing.
Correct Answer: B
Rationale: Step 1: Breast tenderness and fullness between feedings indicate engorgement, a common issue in breastfeeding mothers.
Step 2: Putting the infant to the breast more frequently helps empty the breast and prevents engorgement.
Step 3: Regular feeding stimulates milk production and prevents discomfort.
Step 4: This approach is effective in addressing the underlying issue of engorgement.
Summary:
A: Wearing a bra at all times may not address the root cause of engorgement.
C: Ice packs can provide temporary relief but do not prevent engorgement.
D: Normalizing the issue without providing a solution does not address the discomfort.
Which newborn reflex is elicited by stroking the lateral sole of the infant's foot from the heel to the ball of the foot?
- A. Babinski
- B. Stepping
- C. Tonic neck
- D. Plantar grasp
Correct Answer: A
Rationale: The correct answer is A: Babinski reflex. This reflex is elicited by stroking the lateral sole of the infant's foot, causing the big toe to extend and the other toes to fan out. This response is normal in infants up to 2 years old. The other choices are incorrect because:
B: Stepping reflex is the automatic movement of the legs when held upright with the feet touching a surface.
C: Tonic neck reflex occurs when an infant turns their head to one side, the arm on that side extends while the opposite arm flexes.
D: Plantar grasp reflex is when pressure is applied to the sole of the foot, causing the toes to curl.
What condition can result from a long, difficult labor and is characterized by a localized, soft area on the newborn’s head?
- A. caput succedaneum
- B. molding
- C. depressed fontanelles
- D. cephalohematoma
Correct Answer: A
Rationale: Caput succedaneum refers to swelling of the soft tissues of the scalp due to prolonged pressure during labor.