A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her newborn. Which of the following responses should the nurse provide?

“You can learn to feed him; I wasn’t comfortable the first time I fed a baby either.”

“I’ll feed him today. Maybe tomorrow you can try it.”

“Oh, this isn’t difficult. You’ll be fine doing this.’

“Feeding an infant can feel a little intimidating at first, but I’ll stay and help you.”

Answer and Explanation

The Correct Answer is D

A.   Dismissing the client's request without offering assistance or guidance is not supportive.
B.   Delaying the client's request to tomorrow does not address her immediate needs.
C. Minimizing the client's concerns may make her feel unsupported and anxious.
D.   Acknowledging the client's feelings and offering assistance conveys empathy and support.

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Correct Answer is ["50"]

Explanation

To calculate the infusion rate for antibiotic X, the nurse needs to use the formula: gtt/min = (Volume x Drop factor) / Time

Plugging in the values from the question, we get:

gtt/min = (50 mL x 20 gtt/mL) / 20 min Simplifying, we get:

gtt/min = 1000 gtt / 20 min Dividing, we get:

gtt/min = 50 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 50 gtt/min.

A. Moro reflex B. Babinski reflex C. Tonic neck reflex D. Rooting reflex

Correct Answer is A

Explanation

A. The described reflex is the Moro reflex, which is a normal startle reflex in newborns.
B. The Babinski reflex involves the extension of the big toe and fanning of the other toes in response to stroking the sole of the foot.
C. The Tonic neck reflex involves turning the head to one side, with the arm on that side extending and the opposite arm flexing.
D. The Rooting reflex involves turning the head and opening the mouth in response to cheek or mouth stimulation.

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A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her newborn. Which of the following responses should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

While evaluating the reflexes of a newborn, the nurse notes that with a loud noise the newborn symmetrically abducts and extends his arms, his fingers fan out and form a C with the thumb and forefinger, and he has a slight tremor. The nurse would document this finding as a positive reflex.

Correct Answer is A

Explanation

A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn’s mother asks about the swollen area on her son’s head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?

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