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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Provide the requested items and document the client's cultural preference: Honoring cultural beliefs promotes client-centered care and supports trust in the nurse-client relationship. Providing herbal tea and warm soup aligns with the client’s cultural practices without causing harm, while documentation ensures continuity of care.
B. Offer cold beverages and suggest over-the-counter medications instead: Offering items that contradict the client’s cultural beliefs may cause distress or reduce adherence to care plans. Imposing standard remedies without consideration of cultural preferences undermines individualized care.
C. Explain that there is no scientific evidence supporting hot-cold balance and encourage standard remedies: While evidence-based care is important, dismissing cultural beliefs can damage rapport and discourage engagement. Cultural competence requires respectful integration of safe cultural practices with medical care.
D. Refer the client to a dietitian for nutritional counseling: Referral may be helpful for broader dietary concerns, but it is unnecessary solely to address cultural food requests related to acute symptoms. Immediate culturally appropriate interventions can be provided by the nurse.
Correct Answer is D
Explanation
A. Providing skilled medical interventions: While hospice nurses do provide symptom management and medical care, this scenario focuses on emotional and psychosocial support rather than direct clinical interventions. Medical care is secondary to the family’s need for guidance.
B. Coordinating indirect care services: Indirect services such as arranging equipment or home support are part of hospice care but do not address the family’s emotional transition and acceptance of death.
C. Enhancing quality of life: Hospice aims to enhance quality of life, but this statement is broad. The scenario specifically highlights supporting the family’s emotional adjustment rather than general life quality measures.
D. Helping the family transition from recovery to acceptance: Hospice care includes assisting families in understanding and accepting the dying process, coping with anticipatory grief, and preparing for the loss. This scenario exemplifies the nurse’s role in guiding emotional and psychological adjustment to impending death.
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