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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Darkening of the mucosa.This is an expected variation for an older adult client because the melanin production increases with age.
Some possible explanations for the other choices are:
• Choice A.White patches on the tongue could indicate candidiasis, an oral fungal infection.
• Choice B.Bleeding of the gums could indicate gingivitis, periodontitis, or vitamin C deficiency.
• Choice C.Red spots on the hard palate could indicate petechiae, which are small hemorrhages caused by trauma, infection, or bleeding disorders.
Normal ranges for oral mucosa color vary depending on the skin tone and ethnicity of the client.Generally, the oral mucosa should be pink and moist without lesions or discolorations.
Correct Answer is A
Explanation
The nurse should follow the sequence of 1, 2, 3, 4, 5 when assessing the client’s conjunctiva.This is because the nurse should first apply examination gloves to prevent contamination and infection.Then, the nurse should instruct the client to look up to expose the lower eyelid and conjunctiva.Next, the nurse should place the thumbs below each of the client’s lower eyelids and gently pull the skin down to the top edge of the bony orbital rim.This allows the nurse to inspect the color and condition of the conjunctiva and sclera, noting any color change, swelling, drainage, or lesions.The sclera should be white and the conjunctiva should be pink.
Choice B is wrong because the nurse should not pull down the skin before instructing the client to look up.
This could cause discomfort and injury to the eye.
Choice C is wrong because the nurse should not instruct the client to look up after pulling down the skin.
This could also cause discomfort and injury to the eye.
Choice D is wrong because the nurse should not place the thumbs below each of the client’s lower eyelids before applying examination gloves.
This could introduce infection and irritants to the eye.
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