A nurse is reinforcing discharge teaching about home safety with a client who is postpartum. In which of the following positions should the nurse instruct the client to place their newborn in the crib?
Supine
Prone
Left lateral
Right lateral
The Correct Answer is A
(a) Supine
Placing the newborn in the supine position (on their back) for sleep is recommended by pediatric guidelines to reduce the risk of sudden infant death syndrome (SIDS) and other sleep-related causes of infant death. The supine position allows for optimal airway patency and decreases the risk of suffocation. This position is safest for the newborn during sleep.
(b) Prone
Placing the newborn in the prone position (on their stomach) for sleep is not recommended due to an increased risk of SIDS. The prone position can obstruct the infant's airway and increase the risk of suffocation or overheating, leading to adverse outcomes.
(c) Left lateral
While placing the newborn on the left side may be recommended for certain medical procedures or interventions, such as feeding to reduce reflux, it is not recommended for sleep positioning. Placing the newborn in the left lateral position during sleep does not provide the same benefits for airway patency and SIDS risk reduction as the supine position.
(d) Right lateral
Similar to the left lateral position, placing the newborn on the right-side during sleep does not offer the same protective benefits as the supine position. It does not reduce the risk of SIDS and may pose similar risks as the prone position, such as airway obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
(A) "I will nurse my baby for 5 to 10 minutes on each breast.":
While nursing for 5 to 10 minutes on each breast might work for some babies, it's generally recommended to allow the baby to nurse as long as they are actively sucking and swallowing. The length of time can vary depending on the baby's needs and the mother's milk supply.
(B) "I will make sure that just the nipple is in my baby's mouth.":
This is incorrect because proper latch-on involves the baby having not just the nipple but also a large portion of the areola in their mouth. This ensures effective milk transfer and helps prevent nipple soreness and damage.
(C) "I will apply vitamin E oil to my nipples after each feeding.":
Applying vitamin E oil or any other substance to the nipples is not typically recommended without the advice of a healthcare provider. Some substances can cause irritation or allergic reactions. Instead, if there is nipple soreness, lanolin or expressed breast milk can be used, but it's best to follow guidelines given by a healthcare provider.
(D) "I will lay my baby on a pillow at the level of my breast.":
Using a pillow to support the baby at the level of the breast can help ensure proper positioning and latch during breastfeeding. This position can make breastfeeding more comfortable for both the mother and the baby, promoting effective feeding and reducing the risk of nipple pain.
Correct Answer is B
Explanation
(A) Apply elastic stockings before the client gets out of bed:
While elastic stockings can help prevent thrombophlebitis by promoting venous return and reducing the risk of blood pooling in the legs, applying them before the client gets out of bed may not be as effective as ambulation in preventing stasis and clot formation.
(B) Have the client ambulate as often as possible:
Ambulation helps prevent thrombophlebitis (inflammation of a vein with clot formation) by promoting blood circulation in the lower extremities. Moving the legs and walking encourage the calf muscles to contract, which aids in pushing blood back towards the heart, reducing the risk of blood stasis and clot formation.
(C) Apply warm, moist packs to the client's lower legs:
Applying warm, moist packs to the lower legs may provide comfort and relaxation, but it is not a primary measure for preventing thrombophlebitis. In fact, warm compresses may dilate blood vessels and potentially increase the risk of thrombosis in some cases.
(D) Administer NSAIDs every 4 to 6 hr:
Nonsteroidal anti-inflammatory drugs (NSAIDs) are not typically used for preventing thrombophlebitis. While NSAIDs can help manage pain and inflammation, they do not directly address the underlying mechanisms of thrombus formation or prevent blood stasis. Additionally, frequent administration of NSAIDs may carry risks of gastrointestinal bleeding and renal complications.
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