A first-time parent is pending discharge from the hospital with a well-newborn. What information should the nurse include in the discharge teaching to the parents?

"Expect to wake your baby for all feedings."

"Your baby will not need additional immunizations until the 1 or 2 month check-ups."

"Your baby should gain full head control by 1 month."

"Expect your baby to triple their birth weight by 4-6 months."

Answer and Explanation

The Correct Answer is B

A. While newborns need to feed frequently, particularly breastfed infants, parents do not need to wake their baby for every feeding unless advised by their healthcare provider due to specific concerns like low birth weight.

B. After birth, the newborn receives initial vaccinations, such as the hepatitis B vaccine. The next set of vaccinations is typically administered at the 1 or 2-month check-up, so no additional immunizations are needed immediately after discharge.

C. Full head control is generally achieved by around 4 months of age, not 1 month.

D. Babies typically triple their birth weight by around 12 months of age, not by 4-6 months.

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Correct Answer is D

Explanation

A. Thyroid storm is related to hyperthyroidism and is not directly associated with vasopressin treatment.

B. Vitamin D toxicity is unrelated to vasopressin and is not a concern in this scenario.

C. Cushing syndrome is caused by excess cortisol and is not related to vasopressin therapy.

D. SIADH is characterized by excessive release of antidiuretic hormone, which can lead to water retention and hyponatremia. Since vasopressin is an antidiuretic hormone analog, it can cause similar effects if not carefully monitored.

A. "We can anticipate needing intravenous fluids to correct the dehydration." B. "I will continue to give oral rehydration in small amounts." C. "Chicken broth will replace the needed electrolytes lost." D. "If my child's soft spot becomes depressed, I will notify the healthcare provider immediately."

Correct Answer is B

Explanation

A. Intravenous fluids are generally not required if the child is alert and active with mild dehydration; oral rehydration is usually sufficient.

B. Oral rehydration solutions are appropriate for treating mild dehydration and should be given in small amounts frequently.

C. Chicken broth is not ideal for replacing electrolytes because it is low in electrolytes and high in sodium. Oral rehydration solutions are preferred.

D. A depressed soft spot (fontanel) is a sign of severe dehydration in infants. For a 4-year-old, signs of dehydration would include changes in urine output, thirst, or dry mucous membranes rather than a depressed fontanel.

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A first-time parent is pending discharge from the hospital with a well-newborn. What information should the nurse include in the discharge teaching to the parents?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pediatric client with diabetes insipidus (DI) is being treated with vasopressin. The nurse would assess the client closely for signs and symptoms of which condition?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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