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 D
Explanation
Choice A reason: A living will is not a contract but a legal document that outlines a person's wishes regarding medical
treatment if they become unable to communicate their decisions.
Choice B reason: The client's family does not have the authority to revoke a DNR order unless they are the designated health care proxy or have legal authority to make decisions for the client.
Choice C reason: While verbal designations are possible, it is always best to have such designations documented in writing to ensure clarity and legal standing.
Choice D reason: A client has the right to choose anyone they trust, including a non-family member, to serve as their power of attorney for health care decisions.
Correct Answer is B
Explanation
Choice A reason: Preparing one's own meals does not typically indicate a health issue that requires further assessment.
Choice B reason: Having to turn one's head completely to see things could indicate a possible vision or neck problem, which warrants further assessment.
Choice C reason: Changing a hearing aid battery weekly is a normal maintenance activity and does not suggest a health concern.
Choice D reason: Preparing medications for the week is a good practice for medication management and does not indicate a health issue.
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