Nokea
The nurse is caring for a newborn who was circumcised earlier in the day. What should be included in the plan of care?
- A. Administration of a topical anesthetic to the site
- B. Application of ice to stop bleeding
- C. Retraction of any remaining foreskin
- D. Observation for bleeding for the first 12 hours
Correct Answer: D
Rationale: The nurse should assess for bleeding for the first 12 hours following the circumcision. Gentle pressure should be applied to control bleeding. The administration of topical anesthetic and the retraction of the remaining foreskin are not included in the plan of care.
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Which newborn assessment finding can suggest a chromosomal disorder?
- A. Epstein pearls
- B. Gynecomastia
- C. Babinski reflex
- D. Simian crease
Correct Answer: D
Rationale: A simian crease may indicate a chromosomal disorder.
A new Native American mother tells the nurse that when she goes home her mother-in-law will be caring for the baby while she rests. The nurse has concerns. What should the nurse do?
- A. Explain the importance of ambulating to recover.
- B. Explain the importance of maternal-infant bonding.
- C. Explore ways to blend this with safe health teaching.
- D. Encourage this cultural behavior.
Correct Answer: C
Rationale: Follow principles that facilitate nursing practice within transcultural situations.
Which statement would be a correct description of colostrum?
- A. Slightly yellow and low in protein
- B. Slightly yellow and provides antibodies
- C. Creamy and high in fat and protein
- D. Colorless and high in fat and carbohydrates
Correct Answer: B
Rationale: Colostrum is slightly yellow in color and is rich in antibodies.
Following delivery of the newborn which nursing intervention should be carried out immediately?
- A. Weigh the infant.
- B. Warm the infant.
- C. Bathe the infant.
- D. Inoculate the infant.
Correct Answer: B
Rationale: Maintenance of body temperature is the primary concern when caring for the newborn. The infant will also be weighed, bathed, and inoculated, but those measures are not the primary concern.
The new mother has decided not to breastfeed the baby. How should the nurse correctly instruct the mother to suppress her milk supply?
- A. Pump the breasts to remove milk
- B. Apply warm moist compresses
- C. Restrict oral fluids
- D. Apply a firm bra and ice packs
Correct Answer: D
Rationale: If a patient is not breastfeeding, compress the breasts with a firm bra and wrapped ice packs to suppress the milk supply. Pumping the breasts and applying warm, moist compresses are instructions for the breast-feeding mother to deal with the painful symptoms of engorgement.