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. There is no need to notify the provider if urine output is within the normal range.

B. Oral rehydration may not be necessary if the child is adequately hydrated.

C. A bladder scan is not required if the urine output is within the normal range.

D. Continue to monitor the client as the urine output is within the normal range. For a 3-year-old child (15 kg), normal urine output is 1-2 mL/kg/hr. This child’s output is approximately 1.3 mL/kg/hr, which is normal.

A. "We will limit our child's caffeinated beverages" B. "We will limit fluid during the day." C. "We will wake our child at scheduled intervals at night to void." D. "We will need to administer anticholinergics if behavioral strategies are ineffective."

Correct Answer is B

Explanation

A. Limiting caffeinated beverages is a good strategy as caffeine can increase urine production and contribute to enuresis.

B. Limiting fluid intake during the day is not recommended as it can lead to dehydration. Instead, fluids should be limited in the evening before bedtime.

C. Waking the child at scheduled intervals to void is a common behavioral strategy to help manage enuresis.

D. Anticholinergic medications may be prescribed if behavioral strategies are ineffective, indicating that the parents have received proper education on this potential intervention.

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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 nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hour period. The child weighs 33 lb. After calculating the client's urinary output, which action is appropriate?

Correct Answer is D

Explanation

A nurse has developed a plan of care for a family whose 7-year-old has been experiencing enuresis. Which of the following statements by the parents indicates that further teaching is needed?

Correct Answer is B

Explanation

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