A nursing student is caring for a newborn who wakes up frequently at night. What is the best action to ensure restorative sleep while addressing the baby's needs?
Introduce a blanket and stuffed animal to comfort the baby
Check for hunger, wet diaper, or cold and fix the issue quietly using minimal light and noise.
Allow the baby to cry until they fall back asleep naturally
Keep the baby awake during the day to reduce nighttime waking
The Correct Answer is B
A. Introduce a blanket and stuffed animal to comfort the baby: Loose bedding and soft toys in the crib increase the risk of sudden infant death syndrome (SIDS) in newborns. This action is unsafe and not recommended for infants under 12 months.
B. Check for hunger, wet diaper, or cold and fix the issue quietly using minimal light and noise: Newborns wake frequently for basic needs. Addressing hunger, diaper changes, or temperature issues in a calm, quiet manner promotes restorative sleep and supports safety. Minimizing stimulation helps the baby return to sleep more easily.
C. Allow the baby to cry until they fall back asleep naturally: Letting a newborn “cry it out” is not appropriate at this age. Infants rely on caregivers for feeding, warmth, and comfort. Ignoring these needs can cause distress and disrupt healthy attachment.
D. Keep the baby awake during the day to reduce nighttime waking: Newborns have irregular sleep-wake cycles, and forcing wakefulness can lead to overtiredness, irritability, and difficulty feeding. Daytime sleep is essential for growth and development at this age.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A 15-year-old minor in high school: Minors under 18 generally cannot provide legal consent for medical treatment unless specific statutes apply (e.g., emancipation, certain reproductive or mental health services). A 15-year-old requires parental or guardian consent.
B. A 17-year-old married minor: Marriage often confers legal emancipation, allowing the minor to consent to their own healthcare. Emancipated minors have the legal authority to make medical decisions independently of their parents.
C. A 17-year-old minor traveling abroad: Travel alone does not grant legal capacity for consent. The minor remains under parental authority unless legally emancipated. Medical decisions typically require a parent or guardian.
D. A 16-year-old minor living with their parents: Living independently does not automatically confer legal emancipation. Parental consent is still required for routine healthcare decisions for a 16-year-old unless state-specific laws provide exceptions.
Correct Answer is C
Explanation
A. The rule regarding portability of health insurance coverage: This provision addresses the ability to maintain health insurance when changing jobs or coverage, and is unrelated to unauthorized access of patient records.
B. The Security Rule regarding administrative safeguards: The Security Rule focuses on protecting electronic health information through administrative, physical, and technical measures. While security is involved, the primary issue here is unauthorized disclosure, not system safeguards.
C. The Privacy Rule regarding patient authorization and disclosure: HIPAA’s Privacy Rule governs the use and disclosure of protected health information. Accessing a patient’s electronic health record without consent violates the requirement that patients authorize who can view or use their information.
D. The rule concerning breach notification requirements: Breach notification addresses required reporting after a confirmed compromise of PHI. The student’s unauthorized access is a violation of privacy, not a post-breach reporting issue.
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