A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client's arms, the mother states, "No, the baby is too tired to be held." Which of the following actions should the nurse take?

Offer to take the newborn to the nursery to finish his feeding.

Insist that the mother pick up the newborn to feed him.

Demonstrate how to hold the newborn and allow the client to practice.

Persuade the client to breastfeed the newborn to promote bonding.

Answer and Explanation

The Correct Answer is A

It is important to ensure the safety of the newborn, and in this situation, the adolescent mother is putting the newborn at risk by leaving him unattended while feeding. Offering to take the newborn to the nursery allows him to finish feeding in a safe environment while also allowing the nurse to assess his feeding and ensure he is receiving adequate nutrition. It is important to provide education to the mother on safe feeding practices, but at this moment, ensuring the safety of the newborn is the priority.

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Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

Administering 70% nitrous oxide mixed with oxygen is a common pain management option for laboring clients.

Applying counterpressure to the sacral area can help alleviate back pain during labor. Sitting in a tub of warm water, also known as hydrotherapy, can help reduce pain and promote relaxation during labor.

Ambulating the client may not be feasible or safe during the latent phase of labor when contractions are less frequent and intense.

Performing Leopold maneuvers, which involve palpating the mother's abdomen to determine the position of the fetus, does not directly address pain management.

A. "You should store your diaphragm in sterile water after each use." B. "You should keep the diaphragm in place for at least 4 hours after intercourse." C. "You should use an oil-based vaginal lubricant when inserting your diaphragm." D. "You should have your provider refit you for a new diaphragm."

Correct Answer is D

Explanation

The size and shape of the cervix and vagina can change after childbirth, which can affect the fit and effectiveness of the diaphragm. The nurse should instruct the client to see her healthcare provider to be refitted for a new diaphragm.

Option A is incorrect because storing the diaphragm in sterile water is not necessary or recommended. The diaphragm should be cleaned with soap and water and allowed to air dry.

Option B is incorrect because the diaphragm should be removed no sooner than 6 hours after intercourse and can be left in place for up to 24 hours.

Option C is incorrect because oil-based vaginal lubricants can damage latex diaphragms, so water-based lubricants should be used instead.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home. Which of the following statements should the nurse make to the client?

A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which selection has the highest fiber content per cup?

A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?

A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?

A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?

A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?

A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?