A nurse is caring for a new mother who is concerned that her newborns eyes cross. Which of the following statements is a therapeutic response by the nurse?

This occurs because newborns lack muscle control to regulate eye movements

This is a concern, but strabismus is easily treated with patching

I will take your baby to the nursery for further examination

I will call your primary care provider to report your concerns

Answer and Explanation

The Correct Answer is A

A. “This occurs because newborns lack muscle control to regulate eye movements”: This is the correct answer. Newborns often have uncoordinated eye movements because the muscles that control their eyes are not fully developed yet. This is normal and usually resolves by the time the baby is about 3 months old.

B. “This is a concern, but strabismus is easily treated with patching”: This response is not entirely accurate. While strabismus can be treated with patching, it’s important to note that crossing of the eyes in newborns is usually normal and does not necessarily indicate strabismus.

C. “I will take your baby to the nursery for further examination”: This response may cause unnecessary worry for the mother. It’s better to reassure the mother that this is a normal occurrence in newborns.

D. “I will call your primary care provider to report your concerns”: This response may also cause unnecessary worry for the mother. The nurse should first reassure the mother that this is a normal occurrence in newborns.

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Correct Answer is A

Explanation

A. “Your baby should wet 6 to 8 diapers per day”: This is the correct choice. One of the best indicators that a baby is getting enough breast milk is frequent wet diapers. This shows that the baby is well-hydrated, which is a good sign that they’re getting enough milk.

B. “Your baby should burp after each feeding”: While burping can help to relieve gas and prevent spit-up, it’s not a reliable indicator of whether a baby is getting enough milk.

C. “Your baby should sleep at least”: This statement is incomplete and does not provide a clear measure of whether a baby is getting enough milk.

D. “Your baby should have a wake cycle of 30 to 60 minutes after each feeding”: While it’s true that babies often have awake periods after feedings, this is not a reliable indicator of whether they’re getting enough milk. Some babies may sleep more or less than others after feedings. The most reliable indicators are weight gain and diaper output.

A. Intermittent abdominal pain following passage of bloody mucus B. Abdominal pain with scant red vaginal bleeding C. Increasing abdominal pain with a non-relaxed uterus D. Painless red vaginal bleeding

Correct Answer is D

Explanation

A. Intermittent abdominal pain following passage of bloody mucus: This is not typically associated with placenta previa. It could be a sign of labor or other complications, but not specifically indicative of placenta previa.

B. Abdominal pain with scant red vaginal bleeding: While vaginal bleeding can be a sign of placenta previa, it is usually painless and not associated with abdominal pain.

C. Increasing abdominal pain with a non-relaxed uterus: This could be a sign of a different complication such as uterine rupture or placental abruption, but not placenta previa.

D. Painless red vaginal bleeding: This is the correct answer. Painless vaginal bleeding, especially in the third trimester, is a classic sign of placenta previa. The bleeding occurs when the lower uterine segment begins to thin and dilate, causing the placenta to tear and bleed. This should be evaluated immediately as it can lead to serious complications for both the mother and baby.

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A nurse is caring for a new mother who is concerned that her newborns eyes cross. Which of the following statements is a therapeutic response by the nurse?

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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