A nurse is assisting in the care of a newborn who is scheduled for a heel stick for genetic screening.
Which of the following actions by the nurse demonstrates correct pain relief techniques for newborns?
Feed the newborn water during the procedure.
Place the newborn's arms and legs in flexion and close to the midline of the torso.
Place the newborn supine during the procedure.
Elevate the newborn's head during the procedure.
The Correct Answer is B
Choice A rationale
Feeding the newborn water during the procedure is incorrect because water does not provide effective pain relief during procedures.
Choice B rationale
Placing the newborn's arms and legs in flexion and close to the midline of the torso is correct as this position, known as facilitated tucking, provides comfort and can help reduce pain.
Choice C rationale
Placing the newborn supine during the procedure is incorrect because it does not provide any specific pain relief benefits.
Choice D rationale
Elevating the newborn's head during the procedure is not specifically related to pain relief but is more about positioning for ease of access. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
The amnion is a membrane that encloses the amniotic fluid but does not provide nutrients to the embryo.
Choice B rationale
The chorion forms part of the placenta and contributes to nutrient and gas exchange once the placenta develops, but it does not provide nutrients before the placenta forms.
Choice C rationale
The allantois is involved in early fluid exchange and waste management but does not provide nutrients before the placenta forms.
Choice D rationale
The yolk sac provides nutrients to the developing embryo before the placenta is fully functional, supporting early embryonic development.
Correct Answer is A
Explanation
Choice A rationale
Heavy vaginal bleeding at 39 weeks of gestation could be due to placental abruption or placenta previa, which necessitates immediate delivery to prevent maternal and fetal complications. Preparing for cesarean birth is crucial as it allows rapid delivery, reducing the risk of maternal hemorrhage and fetal hypoxia.
Choice B rationale
Performing a cervical examination can exacerbate bleeding in cases of placenta previa or placental abruption, making it unsafe. It can disturb the placenta and lead to further complications, so this option is not recommended.
Choice C rationale
Magnesium sulfate is used to prevent seizures in preeclampsia or eclampsia, not for managing heavy vaginal bleeding. Its use is unrelated to the immediate care of a client with heavy vaginal bleeding due to suspected placental issues.
Choice D rationale
Administering antibiotics is not the immediate priority in the case of heavy vaginal bleeding at 39 weeks of gestation. The focus should be on stabilizing the mother and preparing for delivery.
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