A nurse is performing a heel stick on a newborn. Which of the following actions should the nurse take?
Puncture the heel on the inner aspect of the foot.
Use an automatic puncture device on the heel.
Cleanse the newborn's heel with an alcohol swab after the procedure.
Place an ice pack on the newborn's heel 5 min before the procedure.
The Correct Answer is B
“Use an automatic puncture device on the heel.” This is the most common and minimally invasive method to draw capillary blood from an infant for medical testing.
Choice A is incorrect because the heel should be punctured on the outer aspect of the foot to avoid damaging the calcaneus bone.
Choice C is incorrect because the heel should be cleansed with an alcohol swab
before, not after, the procedure.
Choice D is incorrect because there is no need to place an ice pack on the newborn’s heel before the procedure.
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Related Questions
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.
Correct Answer is B
Explanation
Chorionic villus sampling (CVS) is a prenatal test that involves taking a sample of tissue from the placenta to test for chromosomal abnormalities and certain other genetic problems.
As with all types of surgical procedures, infections can happen during or after CVS2.
Choice A is incorrect because anemia is not a known complication of CVS.
Choice C is incorrect because late decelerations are a type of fetal heart rate patern that can occur during labor and are not related to CVS.
Choice D is incorrect because placental insufficiency is a condition where the placenta is unable to provide enough oxygen and nutrients to the fetus and is not a known complication of CVS.
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