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?

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.

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

Answer and Explanation

The Correct Answer is B

The nurse should demonstrate how to hold the newborn and allow the client to
practice.
This will help the mother learn how to properly hold her baby and feel more conﬁdent in her ability to care for her newborn.

Choice A is not the best answer because insisting that the mother pick up the
newborn to feed him may make her feel uncomfortable or pressured.
Choice C is not the best answer because persuading the client to breastfeed the newborn to promote bonding may not be appropriate if the mother has chosen to botle-feed her baby.
Choice D is not the best answer because oﬀering to take the newborn to the nursery to ﬁnish his feeding may not address the mother’s concerns about holding her baby.

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Correct Answer is A

Explanation

A nuchal cord occurs when the umbilical cord wraps around the fetal neck completely or for 360 degrees.

In some cases, a tight nuchal cord can cause conjunctival hemorrhage and petechiae.

Choice B) is not correct because erythema toxicum is a common rash seen in newborns and is not related to a nuchal cord.

Choice C) is not correct because periauricular papillomas are benign skin growths near the ear and are not related to a nuchal cord.

Choice D) is not correct because telangiectatic nevi, also known as stork bites or salmon patches, are common birthmarks seen in newborns and are not related to a nuchal cord.

A. "You should place your toddler in time-out if she exhibits regressive behavior B. "You should move your toddler out of her crib 2 weeks prior to your due date." C. "You should hold your newborn in your arms when you introduce him to your toddler.” D. "You should tell your toddler that the baby will need all your attention, but they will still be important."

Correct Answer is C

Explanation

Correct answer: C-"You should hold your newborn in your arms when you introduce him to your toddler.”

Choice A is not an answer because this approach is not suitable for dealing with regressive behaviors in toddlers. Regressive behavior, such as wanting to sleep in the crib or revert to bottle-feeding, is a normal response to the stress of a new sibling. Instead of punishment, parents should provide reassurance, comfort, and understanding. Time-outs may exacerbate feelings of insecurity rather than alleviate them.

Choice B is not an answer because While transitioning a toddler out of the crib can be a part of preparation, it should not be rushed. Doing so too early may create unnecessary stress for the toddler. The best time to make significant changes (like transitioning to a bed) is when the toddler is ready, and it should be done with care and gradual preparation, not too close to the arrival of the baby.

Choice C is the most appropriateanswer becauseIt’s important to allow the toddler to feel involved and included in the process, but holding the newborn during the introduction helps minimize feelings of jealousy and ensures the toddler doesn't feel displaced. Holding the baby allows the toddler to approach the situation more calmly, and it can also help foster a sense of love and comfort for both the toddler and the newborn.

Choice D:While it’s important to reassure the toddler that they are still loved and important, this statement might unintentionally increase anxiety or make the toddler feel less valued. Instead, the nurse should encourage a positive approach, where the toddler can learn how to be a helper and feel involved in the care of the newborn. It’s essential to focus on inclusivity rather than highlighting potential feelings of neglect.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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 caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?

A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)

A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?

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

A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?