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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Large amount of vaginal bleeding: While vaginal bleeding can occur with an ectopic pregnancy, it is usually light and not typically a large amount.
B. Severe nausea and vomiting: These symptoms are common in normal pregnancies and are not specific to ectopic pregnancy.
C. Unilateral cramp-like abdominal pain: This is the correct answer. One of the most common symptoms of an ectopic pregnancy is sharp or cramp-like pain on one side of the lower abdomen. The pain usually starts on one side and may spread across the belly. It can be constant or come and go, and the pain can range from mild to severe.
D. Uterine enlargement greater than expected for gestational age: This is not typically associated with an ectopic pregnancy. In fact, the uterus may not enlarge as expected in an ectopic pregnancy because the embryo is not growing inside the uterus. Instead, the embryo is growing outside the uterus, most commonly in a fallopian tube.
Correct Answer is A
Explanation
A. Dry the infant off and cover the: This is the correct choice. Immediately after birth, the newborn is wet from amniotic fluid. Drying the newborn helps prevent heat loss, and covering the newborn helps to keep them warm.
B. Cut the umbilical cord: This is not the mother’s responsibility. The healthcare provider typically performs this task immediately after birth.
C. Stimulate the infant to cry: While it’s true that crying indicates that the newborn’s lungs are functioning, it’s not the mother’s responsibility to stimulate the newborn to cry. This is typically managed by the healthcare team immediately after birth.
D. Clear the respiratory tract: This is not the mother’s responsibility. The healthcare provider typically clears the newborn’s respiratory tract immediately after birth if necessary. This can involve suctioning the newborn’s mouth and nose.
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