Nokea
Which is the first step in assisting the breastfeeding mother to nurse her infant?
- A. Assess the woman's knowledge of breastfeeding.
- B. Provide instruction on the composition of breast milk.
- C. Discuss the hormonal changes that trigger the milk-ejection reflex.
- D. Help her obtain a comfortable position and place the infant to the breast.
Correct Answer: A
Rationale: The correct answer is A because assessing the woman's knowledge of breastfeeding is crucial to understand her current understanding and skill level. By doing so, the tutor can identify any misconceptions or gaps in knowledge that need to be addressed. This step lays the foundation for providing tailored education and support to the mother.
Choice B is incorrect because providing instruction on the composition of breast milk is informative but not the first step in assisting the breastfeeding mother. Choice C is incorrect as discussing hormonal changes is important but not the initial step. Choice D is incorrect because helping the mother obtain a comfortable position and placing the infant to the breast should come after assessing her knowledge to ensure effective nursing.
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What does the nursing process describe?
- A. what nurses do
- B. how nurses think
- C. where nurses provide care
- D. who nurses care for
Correct Answer: A
Rationale: The nursing process outlines the systematic approach to providing patient care, focusing on what nurses do—assess, diagnose, plan, implement, and evaluate.
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.
What is a routine health provider visiting schedule for a newborn in their first year of life, beginning at 1 month of age?
- A. 1 month, 2 months, 4 months, 6 months, 9 months, and 12 months of age
- B. 1 month to 12 months, visiting once each month
- C. 1 month, 3 months, 6 months, 9 months, and 12 months
- D. 1 month, 3 months, 6 months, 12 months
Correct Answer: A
Rationale: Routine visits occur at 1, 2, 4, 6, 9, and 12 months.
The nurse knows that during the motoric process, the newborn will be rated poorly if they do what?
- A. They have good reflexes.
- B. They have hyper- or hypotonic movements.
- C. They have good head control.
- D. They have moderate activity levels.
Correct Answer: B
Rationale: The correct answer is B because hyper- or hypotonic movements indicate abnormal muscle tone, which can be a sign of neurological or developmental issues in newborns. This would lead to a poor rating during the motoric process as it reflects a lack of proper muscle control and coordination. Good reflexes (A) and good head control (C) are positive indicators of normal motor development in newborns. Moderate activity levels (D) are subjective and not directly related to motoric assessment.
An infant at term was born at 0105 hours. The nurse is developing a plan of care for the newborn. During which time range will the nurse plan on performing the assessment to determine a Ballard score?
- A. 0115 to 0130
- B. 0200 to 0600
- C. 1400 to 1800
- D. 2000 to 2300
Correct Answer: B
Rationale: The correct answer is B (0200 to 0600) because the Ballard score is typically assessed within the first 12-24 hours of life. Given that the infant was born at 0105 hours, the nurse should plan on performing the assessment between 0200 to 0600. This time frame falls within the recommended window for assessing the Ballard score accurately. Choices A, C, and D are incorrect because they fall outside the optimal time range for conducting the assessment. Option A (0115 to 0130) is too soon after birth, and options C (1400 to 1800) and D (2000 to 2300) are too late for the initial assessment as per standard practice.