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A nurse is reinforcing teaching about car seat safety with a parent of a newborn.
Which of the following statements by the parent indicates an understanding of the teaching?
- A. I should place my baby in the car seat at a 90-degree angle.
- B. I will place a thick, soft pad behind my baby's back.
- C. I can turn the car seat so it faces forward when my baby weighs 15 pounds.
- D. I will place the retainer clip at the level of my baby's armpits
Correct Answer: D
Rationale: Placing the retainer clip at the armpit level ensures proper harness positioning, providing optimal protection in a crash, indicating understanding of car seat safety.
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A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests.
Which of the following statements by the client indicates an understanding of the teaching?
- A. White blood cell count is an indicator of anemia.
- B. Urine specific gravity identifies my risk for pregnancy induced hypertension
- C. Platelet count identifies if I am at risk for bleeding
- D. Sedimentation rate checks for signs of cancer
Correct Answer: C
Rationale: Platelet count identifies bleeding risk by assessing clotting ability, a key concern in pregnancy, showing the client understands the test's purpose accurately.
A nurse is reinforcing teaching with a client who is pregnant and does not consume dairy products.
Which of the following food options should the nurse recommend as the best source of dietary calcium?
- A. 1 cup kale
- B. 1 baked potato
- C. 1 large banana
- D. 1 cup sweet white corn
Correct Answer: A
Rationale: Kale is an excellent non-dairy source of calcium, providing approximately 90 mg per cup when cooked. It's a suitable option for pregnant women who avoid dairy to meet their calcium needs.
A nurse is collecting data from a client who is at 26 weeks of gestation and whose last appointment was 1 month ago.
Which of the following findings should the nurse report to the provider?
- A. Pedal edema
- B. BP of 132/84 mm Hg
- C. Weight gain of 1 kg (2.2 lb)
- D. Double vision
Correct Answer: D
Rationale: Double vision can indicate preeclampsia or other serious conditions in pregnancy, requiring prompt reporting for further evaluation and management.
A nurse is transporting a newborn to their parents from the nursery. Which of the following actions should the nurse perform to confirm the newborn's identity?
- A. Ask a parent to state the newborn's date of birth.
- B. Check the newborn's footprint sheet with the medical record.
- C. Request a parent to verify the newborn's name.
- D. Compare numbers on the newborn's band to the parent's band.
Correct Answer: D
Rationale: Comparing the identification numbers on the newborn's band with the parent's band is the most reliable method to confirm identity, ensuring the newborn is matched with the correct parent(s) and preventing mix-ups or abduction.
A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth.
Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
- A. Apply elastic stockings before the client gets out of bed
- B. Have the client ambulate as often as possible.
- C. Apply warm, moist packs to the client's lower legs
- D. Administer NSAIDs every 4 to 6 hr.
Correct Answer: B
Rationale: Ambulation helps prevent thrombophlebitis by promoting blood circulation in the lower extremities. Moving the legs and walking encourage the calf muscles to contract, which aids in pushing blood back towards the heart, reducing the risk of blood stasis and clot formation.