A nurse is supporting bonding and attachment between parents and their newborn.

What intervention should the nurse implement to promote skin-to-skin contact?

Place the newborn on the mother’s chest after delivery.

Wrap the newborn in a blanket and hand to the father.

Place the newborn in an isolette next to the mother’s bed.

Dress the newborn in a gown and hat before giving to the mother.

Answer and Explanation

The Correct Answer is A

Place the newborn on the mother’s chest after delivery. This is because skin-to-skin contact between mother and baby promotes bonding and attachment, which are essential for the baby’s emotional and psychological development. Skin-to-skin contact also helps regulate the baby’s body temperature, heart rate, breathing and blood sugar levels.

Choice B is wrong because wrapping the newborn in a blanket reduces the skin-to-skin contact and may interfere with the bonding process. The father can also bond with the baby by holding him or her against his own skin.

Choice C is wrong because placing the newborn in an isolette separates the baby from the mother and prevents close interaction and communication. The baby may feel insecure and isolated in an isolette.

Choice D is wrong because dressing the newborn in a gown and hat also reduces the skin-to-skin contact and may delay the initiation of breastfeeding. The baby may also lose more heat through clothing than through direct contact with the mother’s body.

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Correct Answer is C

Explanation

It helps identify potential developmental delays.The New Ballard Scale is a scale that estimates the gestational age of a newborn infant based on physical and neuromuscular characteristics.The scale can be used when there is no reliable obstetrical information or a major discrepancy between the estimated date of delivery and the infant’s appearance.The scale is accurate only within plus or minus 2 weeks and can be used up to 4 days after birth, but usually within the first 24 hours.The scale has been refined and expanded to include extremely premature neonates.

Choice A is wrong because the New Ballard Scale does not determine the newborn’s nutritional needs.It only assesses the gestational maturity of the newborn based on physical and neuromuscular signs.

Choice B is wrong because the New Ballard Scale does not assess the baby’s cognitive development.It only estimates the gestational age of the newborn, which is the primary determinant of organ maturity.

Choice D is wrong because the New Ballard Scale does not measure the newborn’s respiratory function.It only evaluates the physical and neuromuscular characteristics of the newborn, such as skin texture, lanugo, plantar surface, breast tissue, eye/ear development and genitalia.

A. Apply sunscreen to the newborn’s skin before placing under the lights. B. Cover the newborn’s eyes with eye shields or patches. C. Turn off the phototherapy lights during feedings. D. Keep the newborn fully clothed to prevent heat loss.

Correct Answer is B

Explanation

Cover the newborn’s eyes with eye shields or patches.This is because phototherapy can cause eye damage and irritation to the newborn, so the eyes should be protected while the lights are on.

Some possible explanations for the other choices are:

• Choice A is wrong because applying sunscreen to the newborn’s skin before placing under the lights can interfere with the effectiveness of phototherapy and increase the risk of skin irritation and infection.

• Choice C is wrong because turning off the phototherapy lights during feedings can reduce the exposure time and delay the clearance of bilirubin from the newborn’s blood.

• Choice D is wrong because keeping the newborn fully clothed to prevent heat loss can also interfere with the effectiveness of phototherapy and increase the risk of overheating and dehydration.

Normal ranges for bilirubin levels in newborns vary depending on the age, gestational age, and risk factors of the newborn.Generally, a total serum bilirubin level of less than 12 mg/dL (205 micromol/L) is considered normal for term newborns in the first week of life.Phototherapy is usually indicated when the total serum bilirubin level exceeds 15 mg/dL (257 micromol/L) for term newborns or 10 mg/dL (171 micromol/L) for preterm newborns.

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A nurse is supporting bonding and attachment between parents and their newborn. What intervention should the nurse implement to promote skin-to-skin contact?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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A nurse is supporting bonding and attachment between parents and their newborn.

What intervention should the nurse implement to promote skin-to-skin contact?