A home health nurse is caring for a newborn.
Click to highlight the findings that require further intervention. To deselect a finding, clock on the finding again.
The Correct Answer is ["<p>Follow-up newborn weight check. <strong>Parent is smoking a cigarette in the living room while the infant sleeps. Parent reports the newborn is breastfeeding well<\/strong>. The newborn is asleep in their bassinet in the living room.<strong> Newborn currently asleep in prone position. Parent reports that the newborn sleeps in their bassinet in the parents’ bedroom overnight.<\/strong><\/p>"]
Nurses’ Notes:
3 weeks old:
Follow-up newborn weight check. Parent is smoking a cigarette in the living room while the infant sleeps. Parent reports the newborn is breastfeeding well. The newborn is asleep in their bassinet in the living room. Newborn currently asleep in prone position. Parent reports that the newborn sleeps in their bassinet in the parents’ bedroom overnight.
Vital Signs:
3 weeks old:
Temperature: 36.9°C (98.4°F) Heart rate: 138/min Respiratory rate: 42/min
The two findings from the nurse's notes that require further intervention:
Parent Smoking in Presence of Newborn and Newborn Asleep in Prone Position
Parent is smoking a cigarette in the living room while the infant sleeps.: Exposure to secondhand smoke is particularly harmful to infants, as their lungs are still developing. It can lead to severe health problems such as breathing difficulties, bad colds, respiratory issues, and delayed physical and mental development. More critically, it increases the risk of sudden infant death syndrome (SIDS). Therefore, it is imperative to educate the parent about the dangers of smoking around the newborn and to ensure that the infant is kept in a smoke-free environment.
Newborn currently asleep in prone position.: The safest sleeping position for a newborn is on their back, as recommended by the American Academy of Pediatrics (AAP). This position has been shown to reduce the incidence of SIDS. Sleeping in a prone position (on the stomach) can lead to less oxygen and more carbon dioxide re-breathing, which can be dangerous for the infant. The nurse should advise the parent to always place the newborn on their back to sleep, for naps and at night, to minimize the risk of SIDS.
The vital signs provided do not indicate any immediate concerns, as the temperature, heart rate, and respiratory rate are within normal ranges for a 3-week-old infant. However, the environmental factors noted in the nurse's observations are significant and require prompt attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E","F"]
Explanation
Choice A - Hearing Findings: Elevated lead levels can affect the auditory system, leading to hearing problems which can be a long-term complication.
Choice B - Eating History: While the child's picky eating behavior was noted, it is not a direct long-term complication of elevated lead levels.
Choice C - Behavior Findings: Lead exposure can result in behavioral issues, including hyperactivity and aggression, which are potential long-term complications.
Choice D - Vital Signs: The vital signs provided do not indicate long-term complications related to lead exposure.
Choice E - Speech History: Developmental delays, including speech delays, can be a long-term complication of elevated lead levels.
Choice F - Attention Findings: Lead exposure can lead to attention-related issues, such as attention deficit hyperactivity disorder (ADHD), which is a long-term complication.
Correct Answer is A
Explanation
Choice A reason: This question is relevant as it helps to assess the risk factors associated with different types of sexual activities and the potential exposure to STIs.
Choice B reason: While contact information may be used for partner notification, it is not typically part of the initial risk assessment for STIs.
Choice C reason: Knowing the number of sexual partners is important for risk assessment, but it is not as immediate as understanding the nature of those relationships.
Choice D reason: The age of sexual partners can be relevant for certain risk assessments, but it is not the primary concern when initially assessing STI risk.
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