Nokea
The nurse knows that newborns that are high-risk for delayed attachment with their parents/caregivers are at risk for what? Select all that apply.
- A. poor breast-feeding initiation
- B. not bonding with their parents
- C. hard to wake to feed
- D. not feeling happy
Correct Answer: B
Rationale: Delayed attachment can lead to difficulties in breastfeeding initiation and emotional bonding.
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.
What kind of muscle tone does a preterm newborn have compared to a full-term newborn?
- A. firm
- B. abnormal
- C. normal
- D. flaccid
Correct Answer: D
Rationale: Preterm newborns often exhibit flaccid muscle tone due to underdeveloped neuromuscular control.
An infant with a congenital cardiac disorder is receiving postsurgical palliation and nearing time for discharge. What findings would be indicators that the infant is ready for discharge?
- A. The infant is medically ready, has had all routine discharge screenings, and is up to date on their vaccinations.
- B. The home caregiver has not been able to come to the hospital and has not received either CPR or needed NG tube training.
- C. The respiratory therapist has done a home evaluation, which showed the home environment was appropriate, but the DME has not shipped the ventilator or oxygen delivery equipment.
- D. The infant is escalating on oxygen requirements and unable to maintain their temperature between 36.6° C and 38° C.
Correct Answer: A
Rationale: Medical readiness, completed screenings, and up-to-date vaccinations indicate discharge readiness.
The nurse notices that a 6-hour-old newborn patient’s urethral opening is on the dorsal side of the penis. The nurse knows that this is called what?
- A. hypospadias
- B. epispadias
- C. phimosis
- D. unispadias
Correct Answer: B
Rationale: Epispadias is a congenital condition where the urethral opening is located on the dorsal side of the penis.
How can the nurse caring for a patient with a neonatal loss practice self-care?
- A. Refrain from discussing her feelings at work.
- B. Understand that depression is normal after neonatal loss.
- C. Take off work for a week.
- D. Debrief with manager and colleagues.
Correct Answer: D
Rationale: Debriefing with colleagues and managers allows for emotional processing and support, which is crucial after a neonatal loss. Suppressing emotions or taking prolonged leave may hinder recovery and professional functioning.