What is the proper method for cleaning the bulb syringe?
- A. Boil the syringe after each use
- B. Microwave in warm water for 1 minute after use
- C. Wash in warm soapy water daily or after each use
- D. Wipe with alcohol prep each day and after each use
Correct Answer: C
Rationale: The correct answer is C: Wash in warm soapy water daily or after each use. This method is recommended as it effectively removes any residue, dirt, or bacteria from the bulb syringe. Cleaning the syringe daily or after each use helps prevent the growth of harmful bacteria and ensures it remains hygienic for future use. Boiling the syringe (choice A) may damage the materials and is not necessary after every use. Microwaving in warm water (choice B) may not effectively clean the syringe. Wiping with alcohol prep (choice D) may not be sufficient to remove all contaminants.
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The mother-baby nurse is providing care to a patient and her newborn 2 hours after delivery. On review of the newborn's chart, the nurse sees a notation of caput succedaneum. What will the nurse expect to find in the mother's chart?
- A. Race: non-White
- B. A longer than usual labor
- C. Administration of an epidural
- D. Delivery by cesarean birth
Correct Answer: B
Rationale: The correct answer is B: A longer than usual labor. Caput succedaneum is swelling of the baby's scalp due to pressure during labor. This indicates a longer labor duration.
A: Race is not a factor in the development of caput succedaneum.
C: Administration of an epidural does not directly cause caput succedaneum.
D: Delivery by cesarean birth is not associated with caput succedaneum.
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.
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.
A postpartum nurse is giving guidance to a mother whose breast-fed newborn is experiencing hyperbilirubinemia. What are the best instructions for the nurse to give the mother in this case?
- A. It is best for the infant if she stops breast-feeding and switches to bottle-feeding permanently.
- B. The mother should switch to bottle-feeding until the baby’s bilirubin returns to normal range.
- C. The mother should alternate breast-feeding and bottle-feeding to ensure adequate fluid intake, until the baby’s bilirubin returns to normal range.
- D. The mother should continue to breast-feed the infant every 2 to 3 hours or more frequently as tolerated (every 2 hours if under phototherapy).
Correct Answer: D
Rationale: Continued frequent breastfeeding helps reduce bilirubin levels effectively.
The nurse is explaining to the new breastfeeding mother the types of neonatal stools the mother can expect. Which examples does the nurse provide? Select all that apply.
- A. Residual meconium is passed as loose watery stool.
- B. Sticky, thick, black stools indicate a presence of blood.
- C. Stools will eventually become drier and more formed.
- D. Golden yellow, a pasty consistency, and sour odor is expected.
Correct Answer: D
Rationale: The correct answer is D because in the early days after birth, newborn stools transition from meconium to a yellow, seedy consistency with a sour odor. This is known as transitional stool. Residual meconium is not passed as loose watery stool (A) but as a sticky, tar-like substance. Sticky, thick, black stools do not necessarily indicate blood (B) but could be meconium. Stools do not become drier and more formed (C) until later in the infant's life.