Benefits of immediate skin to skin contact include (Select all that apply):
Delayed bonding with maternal newborn dyad
Decreased breastfeeding exclusivity
Regulation of blood sugar
Stabilization of temperature
Transfer of good bacteria from amniotic fluid and vernix
Improvement of lung and heart function
Correct Answer : C,D,E,F
Choice A: Delayed bonding with maternal newborn dyad is not a benefit of immediate skin to skin contact. On the contrary, immediate skin to skin contact promotes bonding and attachment between the mother and the newborn by stimulating the release of oxytocin and enhancing the maternal-infant interaction.
Choice B: Decreased breastfeeding exclusivity is not a benefit of immediate skin to skin contact. On the contrary, immediate skin to skin contact facilitates breastfeeding initiation and duration by supporting the newborn's innate feeding behaviors and increasing the mother's confidence and milk production.
Choice C: Regulation of blood sugar is a benefit of immediate skin to skin contact. Immediate skin to skin contact helps prevent hypoglycemia in the newborn by increasing the glucose uptake from the mother's skin and reducing the stress hormone levels that inhibit insulin secretion.
Choice D: Stabilization of temperature is a benefit of immediate skin to skin contact. Immediate skin to skin contact helps maintain the newborn's body temperature by providing a warm and insulated environment and reducing heat loss through convection, radiation, and evaporation.
Choice E: Transfer of good bacteria from amniotic fluid and vernix is a benefit of immediate skin to skin contact. Immediate skin to skin contact helps colonize the newborn's skin and gut with beneficial microorganisms from the mother's amniotic fluid and vernix, which can protect the newborn from infections and enhance the immune system development.
Choice F: Improvement of lung and heart function is a benefit of immediate skin to skin contact. Immediate skin to skin contact helps improve the newborn's respiratory and cardiovascular status by stimulating the vagal nerve and increasing the oxygen saturation and blood pressurE.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Do not use even soft lullaby music or cuddler therapy for this neonate as it will increase stimuli is not a correct option, as it contradicts the evidence-based practice of providing a calm and quiet environment for the neonate with neonatal abstinence syndromE. Music and cuddler therapy can help soothe the neonate and reduce the need for pharmacological agents.
Choice B: Use only pharmacological agents for withdrawal is not a correct option, as it ignores the non-pharmacological interventions that can help the neonate with neonatal abstinence syndromE. Non-pharmacological interventions include swaddling, breastfeeding, skin-to-skin contact, and rooming-in with the mother.
Choice C: Keep the baby and mother together, promoting bonding and providing support and resources for discharge is the correct option, as it supports the family-centered care and the recovery of the mother and the neonate with neonatal abstinence syndromE. Keeping the baby and mother together can improve the maternal-infant attachment, facilitate breastfeeding, and reduce the length of hospital stay and the need for pharmacological agents.
Choice D: Separate the baby from the mother and tell the social worker to contact child protection services is not a correct option, as it violates the ethical and legal principles of nursing practice and the rights of the mother and the neonate with neonatal abstinence syndromE. Separating the baby from the mother can increase the stress and anxiety of both parties and interfere with the bonding and breastfeedinG. The nurse should collaborate with the social worker and other health care professionals to provide a safe and supportive environment for the mother and the neonatE.
Correct Answer is ["B","C","D"]
Explanation
Choice A: Massaging a firm fundus is not necessary, as it indicates that the uterus is contracting well and preventing excessive bleedinG. Massaging a firm fundus may cause discomfort and increase the risk of infection.
Choice B: Determining whether the fundus is midline is an important action, as it indicates that the uterus is in the correct position and not displaced by a full bladder or hematomA. A deviated fundus may cause uterine atony and hemorrhagE.
Choice C: Observing the lochia during palpation of fundus is an important action, as it indicates the amount and type of vaginal discharge after delivery. The nurse should assess the color, odor, consistency, and quantity of lochia and report any abnormal findings.
Choice D: Documenting fundal height is an important action, as it indicates the involution of the uterus after delivery. The nurse should measure the distance from the symphysis pubis to the top of the fundus in centimeters and compare it with the expected findings.
Choice E: Administering terbutaline if the fundus is boggy is not an appropriate action, as terbutaline is a tocolytic agent that relaxes the uterine muscles and may worsen the bleedinG. The nurse should massage a boggy fundus until it becomes firm and notify the provider.
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