A mother inquires about what to use when changing her newborn’s diaper. What should the nurse recommend to this mother?

Corn starch powder.

Clear water.

Talcum powder.

Baby lotion.

Answer and Explanation

The Correct Answer is B

Choice B rationale

When changing a newborn’s diaper, it is recommended to use clear water for cleaning. This is because newborns have sensitive skin, and clear water is gentle and unlikely to cause irritation.

Choice A rationale

Corn starch powder is not typically recommended for use in diaper changes. While it can help absorb moisture, it can also create a paste with the stool that is difficult to clean and can potentially cause skin irritation.

Choice C rationale

Talcum powder is not recommended for use in diaper changes. It can cause respiratory problems if inhaled by the baby.

Choice D rationale

While baby lotion can be used to moisturize a baby’s skin, it is not typically used during diaper changes. It does not have the same cleaning properties as water and can leave a residue on the skin.

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Correct Answer is C

Explanation

Choice A rationale

While shallow and irregular respirations can be a sign of respiratory distress in newborns, it is not the most indicative symptom. Newborns naturally have irregular breathing patterns, which can include periods of rapid breathing followed by periods of no breathing for up to 10 seconds.

Choice B rationale

A respiratory rate of 50 breaths per minute is within the normal range for a newborn. Newborns typically breathe at a rate of 40 to 60 breaths per minute.

Choice C rationale

Flaring of the nares, or nostrils, is a common sign of respiratory distress in newborns. It indicates that the baby is working hard to breathe.

Choice D rationale

Abdominal breathing with synchronous chest movement is normal in newborns. It is not a sign of respiratory distress.

A. Notify the charge nurse about the patient’s condition. B. Discontinue the oxytocin infusion. C. Reduce the rate of the oxytocin infusion. D. Adjust the position of the fetal monitor transducers.

Correct Answer is B

Explanation

Choice A rationale

While notifying the charge nurse about the patient’s condition is an important step, it is not the immediate action that should be taken in this situation. The priority is to address the tachysystolic or tetanic contractions and variable fetal heart decelerations, which are signs of potential fetal distress.

Choice B rationale

Discontinuing the oxytocin infusion is the correct action. Oxytocin is a hormone that stimulates uterine contractions during labor. If a patient begins to experience tachysystolic or tetanic contractions, which are excessively frequent or prolonged contractions, it could lead to fetal distress. Discontinuing the oxytocin can help reduce the frequency and intensity of the contractions.

Choice C rationale

Reducing the rate of the oxytocin infusion may not be sufficient in this situation. Tachysystolic or tetanic contractions with variable fetal heart decelerations are serious signs that require immediate action. Simply reducing the rate of the infusion may not alleviate these symptoms quickly enough.

Choice D rationale

Adjusting the position of the fetal monitor transducers would not address the issue of tachysystolic or tetanic contractions. While it is important to ensure accurate monitoring of the fetus, the priority in this situation is to address the potentially harmful contractions.

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A mother inquires about what to use when changing her newborn’s diaper. What should the nurse recommend to this mother?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a newborn assessment, which symptom, if present, would indicate respiratory distress?

Correct Answer is C

Explanation

A patient in early labor is receiving oxytocin and begins to experience tachysystolic or tetanic contractions with variable fetal heart decelerations.What should the nurse do next?

Correct Answer is B

Explanation

A client at 10-weeks gestation calls the clinic reporting a low-grade fever, moderate cramping, and heavy bright-red bleeding.What advice should the nurse give the client?

A client who is scheduled for induction of labor receives a prescription for oxytocin 2 milliunits/min intravenously (IV). The IV bag contains oxytocin 20 units in lactated Ringer’s 1 liter. How many mL/hour should the nurse program the infusion pump to deliver? .

During the newborn admission assessment, the nurse palpates the newborn’s scrotum and does not feel the testicles. Which assessment technique should the nurse perform next to verify the absence of testes?

The nurse is caring for a client who delivered 6 hours ago.The client’s uterus is boggy and is displaced above and to the right of the umbilicus. What action should the nurse take?

A father watching the admission of his newborn to the nursery notices that eye ointment is placed in the infant’s eyes. He asks the nurse what is the purpose of the ointment.The nurse would be correct in stating that the purpose for using the ointment is to:

The nurse is caring for a postpartum client who is experiencing severe pain and a sensation of pressure in her perineum.Her uterus is firm, and she has a moderate flow of lochia.Upon inspection, the nurse discovers that a perineal hematoma is starting to form. What should the nurse assess first?

A client who is at 10-weeks gestation calls the clinic because she has been vomiting for the past 24 hours. The nurse determines that the client has no fever.What instruction should the nurse give to this client?