A postpartum nurse instructs a new mother in how to bathe her newborn.
Which statement by the mother indicates a need for further instruction?
“I should use a clean cloth and warm water to wash around the umbilical cord.”
“I should bathe him before a feeding so he won’t spit up.”
“I should avoid getting water in his ears or eyes.”
“I should avoid getting water in his ears or eyes.”
The Correct Answer is B
The correct answer is choice B. “I should bathe him before a feeding so he won’t spit up.” This statement indicates a need for further instruction because it is not advisable to bathe a newborn infant before a feeding, as this may cause hypoglycemia or cold stress. The mother should bathe the infant after a feeding or between feedings when the infant is alert and comfortable.
Choice A is wrong because it is correct to use a clean cloth and warm water to wash around the umbilical cord. This helps prevent infection and promotes drying of the cord stump.
Choice C is wrong because it is correct to avoid getting water in the infant’s ears or eyes. This helps prevent ear infections and eye irritation.
Choice D is wrong because it is correct to dry the infant thoroughly and dress him warmly after bathing.
This helps prevent heat loss
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
The correct answer is choice A, C, D, and E.Hypoglycemia due to perinatal asphyxia can cause various neurological signs in the newborn, such as irregular respirations, apnea, eye-rolling, and lethargy.
These signs indicate inadequate oxygenation and glucose delivery to the brain.Cyanosis is not a specific sign of hypoglycemia, but rather a sign of poor oxygenation that can occur due to other causes.
Therefore, choice B is wrong.
Choice A is correct because irregular respirations can result from hypoglycemia due to perinatal asphyxia.Hypoglycemia can impair the respiratory center in the brainstem and cause irregular breathing patterns.
Choice C is correct because apnea can result from hypoglycemia due to perinatal asphyxia.
Apnea is defined as a pause in breathing
Correct Answer is C
Explanation
The correct answer is choice C. A temperature of 36°C (96.8°F) is below the normal range for a newborn, which is 36.5°C to 37.5°C (97.7°F to 99.5°F).
A low temperature can indicate hypothermia, infection, or hypoglycemia, and should be reported to the provider.
Choice A is wrong because a heart rate of 140/min is within the normal range for a newborn, which is 120 to 160/min.
Choice B is wrong because a respiratory rate of 50/min is within the normal range for a newborn, which is 30 to 60/min.
Choice D is wrong because a blood pressure of 60/40 mm Hg is within the normal range for a newborn, which is 50 to 75/30 to 45 mm Hg.
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