Nokea
The nurse teaching a family about bonding with their infant describes touch as an important facet of this process. What does the nurse understand is most important about touch and bonding?
- A. All newborn care must be completed through touch.
- B. Parental recognition occurs through touch.
- C. The neonate learns exclusively through touch.
- D. Touch accustoms the parent to the infant's body.
Correct Answer: C
Rationale: All options are at least partially correct. However, the most important point about touch and bonding is that all the infant learns during the neonatal period is conveyed through touch. Touch conveys warmth, love, pleasure, comfort, and security to the neonate.
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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.
The postpartum nurse is caring for a client who gave birth to full-term twins earlier today. The nurse will know to assess for symptoms of which of the following?
- A. Postpartum infection
- B. Increased blood pressure
- C. Postpartum hemorrhage
- D. Hypoglycemia
Correct Answer: C
Rationale: Delivering twins increases the risk of postpartum hemorrhage due to larger placental sites and potential uterine overdistension.
What action by the nurse takes priority in safeguarding a neonates safety and well-being?
- A. Ensuring that the baby wears an abduction alarm
- B. Keeping the baby with the mother at all times
- C. Requiring visitors to the unit to wear identification
- D. Providing proper identification and constant surveillance
Correct Answer: A
Rationale: Careful and continuous monitoring of infants and proper identification per agency protocol is the best way to ensure a babys safety and well-being. Some institutions may use abduction alarms. Keeping the baby with the mother at all times may not always be possible. Proper identification of visitors is important
Which step is most appropriate following delivery of a healthy newborn?
- A. Assess the newborn's temperature rectally following delivery.
- B. Place the newborn skin to skin in the mother's arms after the baby is dry.
- C. Clothe the baby and place the newborn under the radiant warmer until the temperature is stable.
- D. Wrap the baby in warm blankets; apply a cap to the bed and place open crib near the window.
Correct Answer: B
Rationale: Step 1: Placing the newborn skin to skin in the mother's arms helps with bonding, regulates the baby's temperature, and promotes breastfeeding initiation.
Step 2: Skin-to-skin contact supports the baby in transitioning to the outside world comfortably.
Step 3: Keeping the baby dry and close to the mother promotes a sense of security and comfort.
Step 4: This approach aligns with evidence-based practices for newborn care.
Summary:
A: Assessing the newborn's temperature rectally is not the immediate priority after delivery.
C: Placing the baby under the radiant warmer may disrupt bonding and delay skin-to-skin contact.
D: Wrapping the baby in warm blankets without skin-to-skin contact may lead to heat loss and hinder maternal-infant bonding.
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.