A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum. Which of the following suggestions should the nurse make? (Select all that apply.)

Keep the newborn in the center of a large crib.

Take the newborn for a ride in the car.

Carry the newborn in a front or backpack.

Allow the newborn to continue crying until she falls asleep.

Swaddle the newborn in a receiving blanket.

Answer and Explanation

Correct Answer : B,C,E

Choice A rationale: Keeping the newborn in the center of a large crib is not a specific calming strategy and may not offer the comfort and security that the baby needs.
Choice B rationale: Taking the newborn for a ride in the car can be a calming strategy for some babies. The gentle motion and humming sound of the car can help soothe the baby.
Choice C rationale: Carrying the newborn in a front or backpack can provide comfort and security to the baby. The closeness to the parent's body and the rhythmic movement can help calm the baby.
Choice D rationale: Allowing the newborn to continue crying until she falls asleep is not a recommended strategy. Responding to the baby's cries and providing comfort and soothing is essential for the baby's emotional well-being.
Choice E rationale: Swaddling the newborn in a receiving blanket can help mimic the feeling of being in the womb, providing comfort and security to the baby. It can also prevent the startle reflex and promote better sleep.

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Correct Answer is C

Explanation

Choice A rationale:
A gynaecoid pelvis is considered the most favorable pelvic shape for childbirth and is not a contributing cause of difficult, prolonged labor.
Choice B rationale:

A longitudinal fetal lie (baby's spine aligned with the mother's spine) is a normal and favorable presentation for birth and is not a contributing cause of difficult, prolonged labor.
Choice C rationale:
A persistent occiput posterior position (baby's head facing the mother's abdomen instead of her back) can be a contributing cause of difficult, prolonged labor and may lead to a severe backache for the mother.
Choice D rationale:
Fetal attitude in general flexion (baby's head flexed forward, chin to chest) is a normal and favorable presentation for birth and is not a contributing cause of difficult, prolonged labor.

A. "Go to the emergency room and your provider will meet you the B. "Come to the office and we will check things out." C. "What else have you been eating?" D. "This is expected because of the way iron is broken down during digestion."

Correct Answer is D

Explanation

Choice A rationale:
Going to the emergency room for black stools without abdominal pain or cramping is not warranted in this situation.
Choice B rationale:
Having the client come to the office to check things out may not be necessary since black stools can be an expected side effect of iron supplements and do not necessarily indicate a problem.
Choice C rationale:
Asking about the client's diet is a valid question, but the black stools are likely due to iron supplements' effects and not related to dietary choices.
Choice D rationale:
Black stools are a known side effect of iron supplements. When iron is broken down during digestion, it can cause the stools to appear black or dark. As the client has no other concerning symptoms like abdominal pain or cramping, this response by the nurse reassures the client that the finding is expected and not a cause for alarm.

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A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum. Which of the following suggestions should the nurse make? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache. Which of the following factors is a contributing cause of difficult, prolonged labor?

Correct Answer is C

Explanation

A nurse is speaking on the phone to a client on the phone who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following responses by the nurse is appropriate?

Correct Answer is D

Explanation

A nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take first?

A nurse is assisting with the care of a client who is in labor. Which of the following findings should the nurse report to the provider?

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