Which of the following are nursing measures that can promote parent-infant bonding and attachment? (Select all that apply.)
- A. Provide comfort and ample time for rest.
- B. Keep the baby wrapped to avoid cold stress.
- C. Position the infant face to face with the mother.
- D. Point out the characteristics of the infant in a positive way.
Correct Answer: A
Rationale: Rationale:
A: Providing comfort and ample time for rest helps parents feel less stressed, promoting bonding.
B: Keeping the baby wrapped is important for warmth but does not directly impact bonding.
C: Positioning face to face can enhance bonding, but it is not a nursing measure.
D: Pointing out characteristics positively can boost parent's confidence but does not directly promote bonding.
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To reduce the risk of hypoglycemia in a full-term newborn weighing 2,900 grams, what should the nurse do?
- A. Maintain the infant's temperature above 97.7°F.
- B. Feed the infant glucose water every 3 hours until breastfeeding well.
- C. Assess blood glucose levels every 3 hours for the first twelve hours.
- D. Encourage the mother to breastfeed every 4 hours.
Correct Answer: A
Rationale: Maintaining body temperature helps prevent hypoglycemia by reducing metabolic demands.
The nursery nurse is careful to wear gloves when admitting neonates into the nursery. Which of the following is the scientific rationale for this action?
- A. Meconium is filled with enteric bacteria.
- B. Amniotic fluid may contain harmful viruses.
- C. The high alkalinity of fetal urine is caustic to the skin.
- D. The baby is high risk for infection and must be protected.
Correct Answer: A
Rationale: Meconium contains enteric bacteria, making it important to use gloves to prevent contamination.
A woman who wishes to breastfeed advises the nurse that she had a breast reduction one year earlier. Which of the following responses by the nurse is appropriate?
- A. Advise the woman that unfortunately she will be unable to breastfeed.
- B. Examine the woman's breasts to see where the incision was placed.
- C. Monitor the baby's daily weights for excessive weight loss.
- D. Inform the woman that reduction surgery rarely affects milk transfer.
Correct Answer: C
Rationale: Weight monitoring ensures adequate milk transfer.
A mother, 1 day postpartum from a 3-hour labor and a spontaneous vaginal delivery, questions the nurse because her baby's face is"purple." Upon examination, the nurse notes petechiae over the scalp, forehead, and cheeks of the baby. The nurse's response should be based on which of the following?
- A. Petechiae are indicative of severe bacterial infections.
- B. Rapid deliveries can injure the neonatal presenting part.
- C. Petechiae are characteristic of the normal newborn rash.
- D. The injuries are a sign that the child has been abused.
Correct Answer: B
Rationale: Petechiae can result from pressure changes during rapid delivery, particularly affecting the presenting part.
The nurse does not hear the baby swallow when suckling even though the baby appears to be latched properly to the breast. Which of the following situations may be the reason for this observation?
- A. The mother reports a pain level of 4 on a 5-point scale.
- B. The baby has been suckling for over 10 minutes.
- C. The mother uses the cross-cradle hold while feeding.
- D. The baby lies with the chin touching the under part of the breast.
Correct Answer: D
Rationale: Proper latch involves the chin touching the breast for efficient milk transfer.