Nokea
How can the nurse be culturally sensitive after a neonatal death?
- A. Call a priest for all families during this time of grief.
- B. Recognize that most religions have traditions surrounding death.
- C. Encourage families to have an open casket to help them deal with the death.
- D. Discuss cremation, as it is the best process for a neonatal death.
Correct Answer: B
Rationale: Recognizing religious traditions acknowledges cultural diversity and respects individual beliefs. Imposing specific practices, such as calling a priest or promoting cremation, disregards personal preferences and cultural norms.
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A term infants initial blood glucose level is 42 mg/dL. What action by the nurse is most appropriate?
- A. Document the findings in the infants chart.
- B. Encourage the mother to initiate breastfeeding.
- C. Prepare to administer intravenous glucose.
- D. Recheck the blood glucose in 2 hours.
Correct Answer: A
Rationale: For term infants
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.
When thinking about scoring an Apgar assessment, the nurse knows that grimace is an assessment of what in a newborn?
- A. Grimace is an assessment of a newborn's response to taking their first breath.
- B. Grimace is an assessment of the flexion of hips and legs in the newborn.
- C. Grimace is an assessment of the response to seeing their birthing person's face.
- D. Grimace is an assessment of the response to stimulation from the nurse.
Correct Answer: D
Rationale: The correct answer is D because the grimace in an Apgar assessment refers to the newborn's response to stimulation, such as a gentle pinch or suctioning. This response indicates the baby's reflexes and neurological function, which are important indicators of overall health. Choices A and C are incorrect because the grimace is not specifically related to breathing or visual stimuli. Choice B is incorrect because it refers to a different aspect of the assessment (muscle tone).
The newborn nursery nurse walks into the mother's room and notices the patient next to the window. What is the nurse's next course of action?
- A. Ask the mom to hold the infant using skin-to-skin contact.
- B. Nothing; infants are encouraged to be near the windows for sun exposure.
- C. Place the infant near the door on the other side of the room.
- D. Position the baby on the baby scale to obtain a weight.
Correct Answer: A
Rationale: The correct answer is A: Ask the mom to hold the infant using skin-to-skin contact. This is because skin-to-skin contact between the mother and newborn is important for bonding, regulating the baby's temperature, promoting breastfeeding, and comforting the baby. It also helps establish trust and promote attachment.
Choice B is incorrect because newborns should not be exposed to direct sunlight for long periods due to the risk of sunburn and overheating.
Choice C is incorrect because there is no specific benefit to placing the infant near the door, and it does not address the importance of skin-to-skin contact.
Choice D is incorrect because obtaining the baby's weight is not the immediate priority when entering the room, especially when the opportunity for skin-to-skin contact is present.
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: Newborns have less subcutaneous fat and a higher surface-to-weight ratio, making thermoregulation challenging.