A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?

"Bathe your baby immediately after a feeding."

"Put a soft mattress in your baby's crib."

"Wash your baby's face with plain water."

"Place a bumper pad in your baby's crib."

Answer and Explanation

The Correct Answer is C

Rationale:

A. Bathing the baby immediately after a feeding is not recommended, as it may cause discomfort or spit-up due to movement and manipulation of the baby's body. It's best to wait until the baby is settled and not hungry.

B. Putting a soft mattress in the baby's crib increases the risk of sudden infant death syndrome (SIDS). Firm mattresses are recommended to reduce the risk of suffocation.

C. Washing the baby's face with plain water is a safe and appropriate instruction. Using plain water helps prevent irritation or allergic reactions that may occur with soaps or other cleansing agents.

D. Placing a bumper pad in the baby's crib is not recommended due to the risk of suffocation and strangulation. Bumper pads can also increase the risk of SIDS.

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Correct Answer is C

Explanation

Rationale:

A. Instructing the client about an autopsy is not the immediate priority and may not be appropriate at this sensitive time.

B. Informing the client about the law regarding naming the fetus is not a priority and may add unnecessary stress to the situation.

C. Providing photos of the fetus is the most appropriate action since it minimzes the trauma to the mother while providing closures.

D. Limiting the amount of time the fetus is in the client's room is not appropriate as when the mother needs more time with the fetus, she hsould be allowed to provide for closure

A. WBC count 11,000/mm3 (5,000 to 10,000/mm3) B. Hematocrit 37% (37% to 47%) C. Fasting blood glucose 180 mg/dL (74 to 106 mg/dL) D. Creatinine 0.9 mg/dL (0.5 to 1 mg/dL)

Correct Answer is C

Explanation

Rationale:

A. A WBC count of 11,000/mm3 is slightly elevated but may be within normal limits, as the normal range for WBC count can vary slightly depending on the laboratory. It is not typically concerning during pregnancy.

B. A hematocrit of 37% is within the normal range for pregnancy (37% to 47%) and does not require immediate reporting to the provider.

C. A fasting blood glucose level of 180 mg/dL is significantly elevated and indicates hyperglycemia, which may be indicative of gestational diabetes mellitus or pre-existing diabetes. This finding should be reported to the provider for further evaluation and management.

D. A creatinine level of 0.9 mg/dL is within the normal range (0.5 to 1 mg/dL) and does not require immediate reporting to the provider.

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