A nurse is assisting a healthcare provider during an infant's circumcision. Which action by the nurse demonstrates the nurse is acting as the infant's client care advocate?
The nurse provides the physician with an iodine solution for cleansing the skin.
The nurse prepares the sterile field and gathers necessary equipment.
The nurse provides sucrose and non-nutritive sucking for the infant during the procedure.
The nurse restrains the baby on the circumcision board.
The Correct Answer is C
A. Providing iodine solution is a standard task, not advocacy.
B. Preparing equipment is part of procedural support, not advocacy.
C. Providing sucrose and non-nutritive sucking has been shown to reduce procedural pain in neonates, demonstrating advocacy for the infant’s comfort.
D. Restraining is necessary but does not directly advocate for comfort.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Meconium aspiration syndrome (MAS) occurs when a newborn inhales meconium-stained amniotic fluid during or after delivery, leading to respiratory distress. This newborn has several findings consistent with MAS:
Dark brown-greenish amniotic fluid during labor indicates meconium-stained fluid.
Fine crackles throughout lung fields and expiratory grunting suggest impaired gas exchange and possible airway obstruction.
Rapid and shallow respirations (80/min) and the presence of green-stained vernix and fingernails further support this diagnosis.
Jaundice, hypoglycemia, and cold stress are also potential complications in newborns but are not the most immediate threats based on this newborn's clinical presentation.
Correct Answer is B
Explanation
A. Hormone loss doesn’t directly contribute to early weight loss.
B. Breastfed newborns often lose weight in the first few days after birth due to insufficient milk intake from infrequent or short feedings. The nurse should assess feeding patterns and encourage feeding every 2-3 hours.
C. Water supplements are unnecessary and can interfere with breastfeeding.
D. Frequent stools are normal and usually not a significant cause of excessive weight loss.
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