A nurse is providing teaching to a postpartum client about strategies to reduce the risk of newborn abduction from the facility.
Which of the following instructions should the nurse include in the teaching?
"Give your newborn only to staff members you recognize.”.
"Remove your newborn's microchip identification band after you have arrived home.”.
"Personally carry your newborn to the nursery if you need assistance.”.
"Bring your newborn in the bassinet into the bathroom with you.”.
The Correct Answer is D
Choice A rationale
Relying solely on facial recognition of staff members is an insufficient and potentially dangerous security measure. Hospital staff members can change shifts, and imposters might attempt to abduct newborns. Robust security protocols, such as mandatory identification badges and alarm systems on infant security tags, are designed to prevent unauthorized individuals from leaving the unit with an infant, providing a more reliable defense against abduction.
Choice B rationale
The instruction to remove a newborn's microchip identification band after arriving home is inaccurate and potentially misleading. Hospitals typically use infant security tags or bands that are removed by staff upon discharge, not by the parents at home. These bands are crucial for preventing abductions within the facility by triggering alarms if an infant is taken beyond designated boundaries.
Choice C rationale
Personally carrying a newborn to the nursery, especially without supervision or adherence to facility protocols, increases the risk of abduction. Hospitals often require staff to transport infants in bassinets or cribs, typically with two staff members present, to minimize opportunities for unauthorized individuals to gain access to or abduct a newborn. This procedure enhances infant safety significantly.
Choice D rationale
Bringing the newborn in the bassinet into the bathroom with the mother maintains constant direct observation and reduces the risk of abduction. This strategy minimizes the time the infant is left unattended, preventing opportunities for an abductor to seize the child. Maintaining proximity and direct line of sight is a fundamental principle of infant security in a hospital environment.
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Related Questions
Correct Answer is ["D"]
Explanation
This scenario requires applying knowledge of live-virus vaccines and maternal health safety. Understanding the contraindications and safe practices regarding the rubella vaccine is vital to prevent teratogenic effects on a future fetus while supporting postpartum recovery and the nutritional needs of the newborn through breastfeeding.
Choice A rationale: The rubella immunization is typically administered as a single dose in the postpartum period to provide long-term immunity. It is not given as a series with a second dose two weeks later; the goal is to achieve lifelong protection with one injection.
Choice B rationale: The recommendation for avoiding pregnancy after receiving a live-virus rubella vaccine is at least 28 days or 1 month. Advising a 4-month delay is inaccurate based on current evidence-based guidelines and may cause unnecessary concern for the client regarding future family planning.
Choice C rationale: Live-virus vaccines, including rubella, are strictly contraindicated during pregnancy because of the risk of congenital rubella syndrome in the fetus. A client should never receive this immunization during the first trimester or any other stage of a future pregnancy.
Choice D rationale: The rubella vaccine is a live, attenuated virus, but it is not transmitted through breast milk in a way that harms the infant. Therefore, breastfeeding is completely safe and encouraged after the mother receives her immunization in the postpartum unit.
Correct Answer is D
Explanation
Choice A rationale
Droplet precautions are implemented for pathogens transmitted via large respiratory droplets, such as influenza or meningococcal disease. Herpes simplex virus is typically transmitted through direct contact with lesions or secretions, not primarily through airborne droplets. Therefore, instituting droplet precautions would not be the most scientifically appropriate measure for preventing HSV transmission in this context.
Choice B rationale
Ceftriaxone sodium is a broad-spectrum cephalosporin antibiotic used to treat bacterial infections, such as gonorrhea or bacterial meningitis. Herpes simplex virus is a viral infection, and antibiotics are ineffective against viruses. Administering ceftriaxone would not address the underlying viral etiology of the newborn's exposure to HSV.
Choice C rationale
Bottle-feeding the newborn is not a primary intervention to prevent transmission of HSV from a mother with active genital herpes to a newborn. HSV is transmitted through direct contact during passage through the birth canal. Breastfeeding is generally considered safe for mothers with HSV unless there are active lesions on the breast.
Choice D rationale
Obtaining surface cultures from the newborn is a crucial diagnostic step to confirm the presence of HSV infection in a neonate exposed during birth. This allows for timely initiation of antiviral therapy, such as acyclovir, which is essential to prevent systemic dissemination and severe complications like encephalitis, which can be life-threatening in newborns.
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