A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?

Educate the parents about the defect.

Maintain the integrity of the sac.

Provide age-appropriate stimulation.

Promote maternal-infant bonding.

Answer and Explanation

The Correct Answer is B

A.   Educating the parents about the defect is important for their understanding and involvement in the care of the newborn, but it is not the priority when the infant has a myelomeningocele.
B.   Maintaining the integrity of the sac is the priority goal in the care of a newborn with myelomeningocele to prevent infection and protect the exposed neural tissue.

C.   Providing age-appropriate stimulation is important for the overall development of the newborn but is not the priority when the infant has a myelomeningocele.
D.   Promoting maternal-infant bonding is essential for the emotional well-being of both the
mother and the newborn, but it is not the priority when immediate physical care needs exist, such as maintaining the integrity of the sac.

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Correct Answer is A

Explanation

A. Assessing for respiratory distress is the priority following a cesarean delivery as newborns born via cesarean section are at increased risk for respiratory complications due to potential fluid in the lungs (transient tachypnea of the newborn) or immaturity of lung function.
B. Accidental lacerations are important to assess but are not the priority immediately following a scheduled cesarean delivery.
C. Hypothermia is a concern, but assessing for respiratory distress takes precedence as it can be life-threatening if not promptly addressed.

A. "I will place my baby on his stomach when he is sleeping." B. "I should place my baby's crib next to the heater to keep him warm during the winter." C. "I should remove extra blankets from my baby's crib." D. "I should pad the mattress in my baby's crib so that he will be more comfortable when he sleeps."

Correct Answer is C

Explanation

A. Placing the baby on his stomach increases the risk of sudden infant death syndrome (SIDS) and is not recommended.
B. Placing the crib next to the heater can increase the risk of overheating and is not safe.
C. Removing extra blankets from the baby's crib reduces the risk of suffocation and entanglement, promoting a safe sleep environment.
D. Padding the mattress in the baby's crib can increase the risk of suffocation and is not recommended.

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A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority?

Correct Answer is A

Explanation

A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer is C

Explanation

A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

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A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which of the following muscles?

A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?

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A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, "How will I know if my baby gets enough breast milk?" Which of the following responses should the nurse make?

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