A nurse is preparing to collect a specimen for newborn screening. Which of the following actions should the nurse take?

Use a lancet to puncture the inner aspect of the newborn's heel.

Leave the newborn's heel open to the air after the puncture.

Apply an antiseptic to the newborn's heel after collecting the specimen.

Warm the newborn's heel for 5 to 10 min before the puncture.

Answer and Explanation

The Correct Answer is A

A)   Correct - Newborn screening typically involves a heel stick using a lancet to collect a few drops of blood from the inner aspect of the newborn's heel.
B)   Incorrect- Leaving the newborn's heel open to the air after the puncture is not necessary; a small bandage is typically applied.
C)   Incorrect- An antiseptic is not typically applied after collecting the specimen, as it could interfere with the accuracy of the screening tests.
D)   Incorrect- Warming the newborn's heel is not a standard step before collecting a specimen for newborn screening.

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Correct Answer is B

Explanation

A) Incorrect- Elevating a baby's head with a cushion during sleep is not recommended, as it can increase the risk of sudden infant death syndrome (SIDS) and obstructed breathing.
B) Correct - "I should replace the batteries in my smoke detector twice per year." Regularly replacing smoke detector batteries helps ensure they function properly in case of a fire emergency.
C) Incorrect- Setting the hot water heater to 130°F (54.4°C) is too hot and can cause scalding burns. The recommended temperature is 120°F (48.9°C) or lower.
D) Incorrect- Baby powder is not recommended for use with diaper changes, as it can be inhaled by the baby and lead to respiratory issues.

A. Have a high-fat snack before going to bed. B. Limit snacks between meals. C. Drink 240 mL (8 oz) of water with each meal. D. Eat a slice of dry toast before getting out of bed.

Correct Answer is D

Explanation

A) Incorrect- Having a high-fat snack before bed might exacerbate nausea. It's generally recommended to have a light snack if needed.
B) Incorrect- Eating small, frequent snacks between meals can help manage nausea by preventing an empty stomach.
C) Incorrect- Drinking water with meals might not necessarily help with nausea and might worsen the feeling of fullness.
D) Correct - "Eat a slice of dry toast before getting out of bed" can help alleviate morning sickness in the first trimester. Eating a small, bland snack before rising can prevent an empty stomach, which can contribute to nausea.

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A nurse is preparing to collect a specimen for newborn screening. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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