A nurse in a clinic is caring for a client who is antepartum. The client expresses concern about preparing their preschooler for a new sibling. Which of the following responses should the nurse make?
"Plan to spend individual time with your preschooler."
"Move your preschooler from their crib to a bed the day before the baby comes home."
"Ensure that your preschooler sees you holding the baby during the initial encounter"
"Avoid bringing your preschooler to prenatal visits."
The Correct Answer is A
A. Spending individual time with the preschooler helps reduce feelings of jealousy and promotes security during the transition.
B. Moving the child too close to the arrival of the new baby can increase stress; it’s better to make such changes well in advance.
C. The preschooler might feel excluded or jealous if they see the parent holding the baby first; it is better to prepare them beforehand.
D. Including the preschooler in prenatal visits can help them feel involved and less anxious about the new sibling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Breastfeeding is not contraindicated in mothers with hepatitis B if the newborn receives appropriate prophylaxis.
B. Airborne precautions are not necessary; hepatitis B is transmitted through blood and body fluids, not airborne droplets.
C. Bathing the newborn does not affect hepatitis B transmission risk and does not need to be delayed.
D. Administering hepatitis B immune globulin (HBIG) IM to the newborn within 12 hours of birth, along with the first dose of the hepatitis B vaccine, is essential to prevent vertical transmission of hepatitis B virus.
Correct Answer is D
Explanation
A. Fentanyl citrate is a potent opioid, typically reserved for severe pain and usually administered in controlled settings, not first-line postpartum analgesia.
B. Meperidine is less commonly used due to side effects and safety concerns.
C. Aspirin is generally avoided postpartum due to bleeding risks.
D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used postpartum for pain relief and inflammation control with a safer profile for breastfeeding mothers.
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