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When traveling in a car, where are infants the safest?
- A. in an approved safety seat secured properly, either rear or forward facing
- B. in a child safety-approved car seat that they can grow into, with pillow supports for their head
- C. in an infant car seat, safely secured, in the car’s front or rear seat
- D. in a rear-facing, safety-approved infant car seat, located in the middle of the back seat of the car
Correct Answer: D
Rationale: Rear-facing car seats in the back seat center provide maximum safety.
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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.
Parents of a newborn are asking the nurse why their baby has to have a shot. Which is the nurse's best response?
- A. We are trying to prevent any risk of infection in the eyes that could lead to blindness.'
- B. The umbilical cord is a site for infection. This shot will prevent illness.'
- C. Hospital policy states that all babies must receive a shot after delivery.'
- D. Clotting problems can occur in infants because they don't receive food right away.'
Correct Answer: D
Rationale: The correct answer is D: Clotting problems can occur in infants because they don't receive food right away. This is the best response as it explains the importance of the shot in preventing clotting issues due to delayed feeding. Infants are at risk of developing clotting problems since they don't receive food immediately after birth.
Incorrect choices:
A: Incorrect because the shot is not primarily aimed at preventing eye infections.
B: Incorrect because the umbilical cord is not the main concern for the shot.
C: Incorrect because hospital policy is not the reason for administering the shot.
In summary, choice D is correct as it addresses a critical issue related to infant health, while the other choices do not focus on the primary reason for the shot administration.
A premature newborn requires assistance with ventilation and oxygenation. What method of respiratory support is most likely to be utilized if the newborn requires PPV at birth and continues to need assistance?
- A. bag mask positive pressure ventilation (PPV)
- B. extracorporeal membrane oxygenation (ECMO)
- C. continuous positive airway pressure (CPAP)
- D. nasal cannula at 1 L
Correct Answer: A
Rationale: Bag-mask PPV is commonly used initially for premature infants requiring respiratory support.
The nurse is watching new parents suction their newborn. The baby begins gagging. What action should the nurse demonstrate to the parents?
- A. Pick the baby up and comfort her.
- B. Place the baby on her back.
- C. Turn the babys head to the side.
- D. Wipe secretions out with a cloth.
Correct Answer: C
Rationale: If the baby begins gagging or vomitingIf the baby begins gagging or vomiting the parents (or nurse) should position the infants head to the side or downward to prevent aspiration. The other actions are not appropriate.
Blood flow connection between the systemic, aorta, pulmonary blood flow, and pulmonary artery is which fetal shunt?
- A. ductus venosus
- B. foramen ovale
- C. ductus arteriosus
- D. foramen venosus
Correct Answer: C
Rationale: The ductus arteriosus connects the pulmonary artery to the descending aorta, allowing most fetal blood to bypass the lungs.