A nurse is reinforcing teaching about newborn care with a client who is 2 hours postpartum.
Which of the following statements by the client indicates a need for further teaching?
"I will place my baby on my stomach and cover her with a warm blanket.”.
"My baby's temperature will be checked rectally every hour.”.
"I should keep my baby's head covered.”.
"My baby's bassinet should be kept away from fans and air conditioning.”.
The Correct Answer is B
Choice A rationale
Placing a newborn on the parent's stomach and covering with a warm blanket helps to regulate body temperature through skin-to-skin contact, which is essential for newborns, especially shortly after birth.
Choice B rationale
Rectal temperature checks are not recommended for newborns due to the risk of rectal perforation. Newborn temperatures are typically monitored using axillary (underarm) methods.
Choice C rationale
Keeping a newborn’s head covered helps to prevent heat loss, as a significant amount of body heat can be lost through the head. This practice is crucial in maintaining the newborn's body temperature.
Choice D rationale
Newborns should be kept away from drafts, including fans and air conditioning vents, to prevent them from becoming too cold. Keeping the bassinet away from these can help maintain a stable temperature.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Rh positive clients with Rh positive newborns do not require Rho(D) immune globulin because there is no risk of Rh incompatibility.
Choice B rationale
If both the client and the newborn are Rh positive, Rho(D) immune globulin is not needed since there is no risk of the client developing antibodies against Rh positive cells.
Choice C rationale
Rh negative clients with Rh negative newborns also do not require Rho(D) immune globulin since there is no Rh positive blood to cause an immune response.
Choice D rationale
Rh negative clients with Rh positive newborns need Rho(D) immune globulin to prevent the client from developing antibodies against Rh positive blood, which could affect future pregnancies.
Correct Answer is A
Explanation
Choice A rationale
0.2 mg is the appropriate transcription as it avoids trailing zeros and clearly indicates the dosage, reducing the risk of overdose.
Choice B rationale
0.20 mg is incorrect because the trailing zero could be misinterpreted as 20 mg, leading to a dangerous overdose.
Choice C rationale
2 mg is incorrect as it represents a tenfold overdose of the intended dosage, potentially resulting in serious harm.
Choice D rationale
0.02 mg is incorrect as it represents a tenfold underdose of the intended dosage, potentially resulting in insufficient therapeutic effect. .
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