Nokea
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.
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To prevent breast engorgement, what should the new breastfeeding mother be instructed to do?
- A. Feed her infant no more than every 4 hours.
- B. Limit her intake of fluids for the first few days.
- C. Apply cold packs to the breast prior to feeding.
- D. Breast-feed frequently and for adequate lengths of time.
Correct Answer: D
Rationale: The correct answer is D because frequent and adequate breastfeeding helps prevent breast engorgement by ensuring proper milk flow and emptying of the breasts. This stimulates milk production and prevents blockages. Choice A is incorrect as spacing out feedings can lead to engorgement. Choice B is incorrect as hydration is important for milk production. Choice C is incorrect as cold packs can reduce milk flow and hinder breastfeeding. In summary, frequent and effective breastfeeding is crucial in preventing breast engorgement.
Upon discharge, parents of a newborn reveal their plans to take their newborn to the beach with them on a vacation when the newborn is 3 months old. Which statement by the nurse is the most appropriate?
- A. Newborns are encouraged to get at least 2 hours of sun each day for vitamin D synthesis.'
- B. You should make plans to leave your newborn with a relative or a babysitter while you are on vacation.'
- C. Sunscreen should be applied to your newborn every hour to prevent sunburn.'
- D. It is best to place your newborn in lightweight clothing and in the shade when outdoors.'
Correct Answer: D
Rationale: The correct answer is D because newborns have delicate skin that is highly susceptible to sunburn and heat-related issues. Placing the newborn in lightweight clothing and in the shade helps protect their sensitive skin from harmful UV rays. This approach minimizes the risk of sunburn and overheating.
A is incorrect because newborns should not be exposed to direct sunlight for prolonged periods. B is inappropriate as it is important for newborns to be with their parents for bonding and care. C is incorrect as sunscreen is not recommended for infants under 6 months of age due to potential skin irritation and absorption concerns.
The newborn nursery nurse knows that infant behavior is best assessed by which of the following?
- A. Ease of learning to nurse
- B. Length of sleeping periods
- C. Presence of reflex activity
- D. Response to stimulation
Correct Answer: D
Rationale: Assessing a baby's response to stimulation is a vital part of a behavioral assessment. The other assessments are not really related, although a jittery, overstimulated baby who does not sleep well may need a quieter environment and more gentle handling.
When the nurse determines they have a high-risk newborn and birthing person in their care, what can they do to mitigate the situation?
- A. Document in the chart.
- B. Reassure the parent that everything will be fine.
- C. Refer the couplet to social work for early intervention.
- D. Refer to a pediatric health-care provider for well-baby checkup.
Correct Answer: C
Rationale: The correct answer is C: Refer the couplet to social work for early intervention. This is the best course of action as social work can provide support and resources to address the high-risk situation. Documenting in the chart (A) is important but not sufficient for immediate intervention. Reassuring the parent (B) may be helpful, but it doesn't address the risk factor. Referring to a pediatric provider (D) is important but social work intervention can provide more comprehensive support in this specific situation.
Which baby is at highest risk of skin infection upon discharge?
- A. Newborn with scabs forming over heels where blood has been drawn
- B. Newborn with a new circumcision
- C. Newborn with jaundice
- D. Newborn with milia
Correct Answer: B
Rationale: The correct answer is B, a newborn with a new circumcision, as this procedure involves an incision, making the baby more susceptible to skin infections. Circumcision wounds need proper care to prevent infection.
Choice A is incorrect because scabs forming over heels where blood has been drawn do not necessarily indicate a higher risk of skin infection. Choice C, a newborn with jaundice, is incorrect as jaundice affects the liver and does not directly increase the risk of skin infection. Choice D, a newborn with milia, is incorrect because milia are harmless and do not increase the risk of skin infection.