A nurse is reinforcing teaching about safety with the parent of a newborn. Which of the following instructions should the nurse include?
Take the newborn to the nursery before showering,
Position the newborn prone for sleep.
Place the newborn on a strict feeding schedule.
Swaddle the newborn with their legs extended.
The Correct Answer is A
A. Take the newborn to the nursery before showering: Newborns require continuous supervision to prevent falls, choking, or accidental injury. Leaving a newborn unattended, even briefly, is unsafe. Taking the infant to the nursery or ensuring another responsible adult is present while the parent showers promotes safety.
B. Position the newborn prone for sleep: Placing a newborn prone (on the stomach) increases the risk of sudden infant death syndrome (SIDS). Safe sleep guidelines recommend placing infants on their backs in a flat, firm sleep surface to reduce SIDS risk.
C. Place the newborn on a strict feeding schedule: Newborns should be fed on demand, typically every 2–3 hours, based on hunger cues. Strict schedules can lead to inadequate nutrition, dehydration, or failure to thrive, this practice is not recommended for safety or growth.
D. Swaddle the newborn with their legs extended: Proper swaddling involves keeping the hips and legs flexed and slightly abducted to reduce the risk of hip dysplasia. Extending the legs during swaddling can harm hip development and is not considered safe practice.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Call a shelter in another county.": While contacting a shelter can be part of a safety plan, specifying another county is not necessary unless there is a need for increased distance from the abuser. The instruction should be individualized, and calling local resources may be more immediately practical and safer.
B. "Leave your partner immediately.": Immediate departure is not always safe and may increase the risk of harm if done impulsively. Safety planning emphasizes strategic, well-thought-out actions rather than abrupt decisions that could escalate danger.
C. "Keep a packed bag by your front door.": Having a packed bag ready is a precautionary measure, but it is only effective if the client also has a safe, rehearsed plan and access to secure transportation. Without a concrete strategy, this step alone may not reduce risk effectively.
D. "Rehearse your escape route.": Practicing an escape route helps the client respond quickly and safely in an emergency situation. Rehearsal allows the client to identify safe exits, plan for transportation, and anticipate obstacles, which is a central component of an effective safety plan for partner violence.
Correct Answer is C
Explanation
A. "The feeding should last 5 to 10 minutes.": Newborn feedings usually take 20 to 30 minutes, depending on the baby’s sucking strength and tolerance. A 5–10 minute feeding is typically too short for adequate intake.
B. "My baby should be burped prior to feeding.": Burping is recommended during and after feeding, not before. Burping helps release swallowed air and reduce discomfort, so this statement shows a misunderstanding.
C. "My baby might spit up a small amount of formula while feeding.": It is normal for newborns to regurgitate small amounts of formula due to an immature lower esophageal sphincter and active feeding. Recognizing this as typical demonstrates correct understanding of bottle-feeding expectations.
D. "The opening of the nipple should be enlarged.": The nipple hole should be appropriately sized to allow slow, controlled flow of formula. Enlarging the opening can cause choking, gagging, or overfeeding.
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