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.

Answer and Explanation

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. .

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Correct Answer is D

Explanation

Choice A rationale

If both the client and the newborn are Rh positive, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.

Choice B rationale

If the client is Rh positive and the newborn is Rh negative, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.

Choice C rationale

If both the client and the newborn are Rh negative, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.

Choice D rationale

If the client is Rh negative and the newborn is Rh positive, there is a risk of Rh incompatibility, and Rho(D) immune globulin is needed to prevent the development of Rh sensitization in future pregnancies. .

A. Check the client's temperature every 4 hours. B. Encourage the client to empty the bladder every 2 hours. C. Remind the client to bear down with each contraction. D. Maintain the client in the lithotomy position.

Correct Answer is B

Explanation

Choice A rationale

Checking the client's temperature every 4 hours is important to monitor for infection but is not the primary action during the active phase of labor following an amniotomy.

Choice B rationale

Encouraging the client to empty the bladder every 2 hours helps prevent bladder distention, which can impede the descent of the baby and contribute to labor progress.

Choice C rationale

Bearing down with each contraction is advised during the second stage of labor, not the active phase of the first stage.

Choice D rationale

Maintaining the client in the lithotomy position is not necessary throughout labor and can be uncomfortable; mobility and changing positions are encouraged.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

Correct Answer is D

Explanation

A nurse is assisting in the care of a client following an amniotomy who is now in the active phase of the first stage of labor. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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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?