New parents are watching the Period of PURPLE Crying video before discharge.
The father asks the nurse, Why is the hospital showing us this video? The nurse should explain that this program is designed to:

Prevent infant falls by teaching safe handling.

Prevent hypoglycemia by ensuring frequent feedings.

Prevent SIDS by teaching safe sleep practices.

Prevent abusive head trauma by helping parents understand normal infant crying.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While infant falls are a significant safety concern in the postpartum period and early childhood, the Period of PURPLE Crying program is not specifically focused on mechanical safety or physical handling techniques. Falls are usually addressed through general safety teaching regarding furniture, stairs, and carrying techniques. This specific educational program targets the psychological and behavioral aspects of responding to a crying infant rather than the physical prevention of accidental falls or drops in the home environment.

Choice B rationale

Hypoglycemia prevention is a critical aspect of early neonatal care, but it is managed through feeding education and monitoring of glucose levels rather than through a video about crying patterns. The physiology of blood sugar regulation is unrelated to the behavioral education provided in the PURPLE Crying curriculum. Feeding schedules are discussed in the context of nutrition and growth, whereas this video focuses on the emotional and developmental challenges parents face when an infant cries excessively.

Choice C rationale

Sudden Infant Death Syndrome (SIDS) prevention is addressed through the Safe to Sleep campaign, which emphasizes supine positioning, firm sleep surfaces, and the avoidance of loose bedding. While both programs are essential for newborn safety, they target different risks. The PURPLE Crying program does not provide instruction on sleep environments or SIDS risk factors, as its primary goal is to educate parents on the developmental phase of increased crying to prevent caregiver frustration and potential abuse.

Choice D rationale

The Period of PURPLE Crying is a specialized evidence-based program designed to prevent Shaken Baby Syndrome and abusive head trauma. It educates parents that crying is a normal developmental phase that often increases at 2 weeks of age and peaks at 2 months. By explaining that crying can be inconsolable and is not a reflection of poor parenting, the program helps reduce the frustration and anger that can lead a caregiver to shake or harm an infant.

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Correct Answer is A

Explanation

Choice A rationale

Processed foods are frequently deficient in naturally occurring folate and bioavailable iron. Iron is essential for the 50 percent increase in maternal blood volume and for the transport of oxygen to the fetus via hemoglobin. Folic acid is crucial for preventing neural tube defects and supporting rapid cell division. Given that processed diets are often high in calories but low in these specific micronutrients, supplementing iron and folic acid is the most critical intervention.

Choice B rationale

Vitamin C and B6 are water-soluble and generally easier to obtain from a variety of fortified foods, even in a processed diet. Vitamin C aids in collagen synthesis and immune function, while B6 is involved in amino acid metabolism. While important, they are not as commonly deficient to the point of causing severe developmental defects compared to the profound risks associated with low folic acid and iron levels in the early stages of human gestation.

Choice C rationale

Calcium and zinc are essential minerals for skeletal development and enzymatic reactions, respectively. Calcium is often found in dairy or fortified processed grains, and while zinc is vital for protein synthesis, it is typically less of a critical priority than iron and folate in the context of a standard processed food diet history. Maternal bone resorption can also temporarily provide calcium if intake is slightly low, though long-term intake remains very important.

Choice D rationale

Fat-soluble vitamins like A and D are stored in the body's adipose tissue and liver, meaning deficiencies take longer to develop than with water-soluble vitamins. While vitamin D is essential for calcium absorption and vitamin A for vision and cell differentiation, excessive intake of preformed vitamin A can actually be teratogenic. Therefore, they are not usually the primary focus of initial supplementation unless a specific deficiency is suspected through clinical or laboratory assessment.

A. Would you like to discuss this further before your treatment begins. B. No one has ever had more than triplets. C. Ovulation will be monitored with ultrasound so this will not happen. D. Ten percent is a very low risk, so you don't need to worry.

Correct Answer is D

Explanation

Choice A rationale

While this response is empathetic and open-ended, it does not directly answer the client's specific question regarding the risk of multiple births. In a clinical setting, clients require factual information to make informed decisions about their care. Asking if they want to discuss it further without providing the necessary statistics or scientific context fails to address the immediate knowledge deficit. Effective nursing communication should combine supportive inquiry with accurate, evidence-based data.

Choice B rationale

This statement is factually incorrect and provides false reassurance. Clomiphene citrate stimulates the release of follicle-stimulating hormone and luteinizing hormone, which can lead to the maturation and ovulation of multiple follicles. While twins are the most common multiple birth associated with this medication, higher-order multiples like quadruplets or quintuplets have been documented. Telling a client that more than triplets is impossible is a violation of the duty to provide truthful medical information.

Choice C rationale

Ultrasound monitoring is indeed used to track the number and size of developing follicles during a medicated cycle. However, monitoring alone does not prevent the physiological occurrence of multiple ovulation. Even if multiple follicles are seen, the medication has already been administered, and the risk remains if the couple engages in intercourse. The nurse cannot guarantee that multiple births will not happen simply because the client is being monitored by the healthcare team.

Choice D rationale

Clomiphene citrate is associated with a multiple pregnancy rate of approximately 5 percent to 10 percent, with the vast majority being twins. Providing this specific percentage gives the client a clear, evidence-based understanding of the risk. Stating that 10 percent is relatively low helps put the risk in perspective while acknowledging that the possibility exists. This response is the most scientifically accurate and helpful for a client weighing the pros and cons of treatment.

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New parents are watching the Period of PURPLE Crying video before discharge. The father asks the nurse, Why is the hospital showing us this video? The nurse should explain that this program is designed to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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New parents are watching the Period of PURPLE Crying video before discharge.
The father asks the nurse, Why is the hospital showing us this video? The nurse should explain that this program is designed to: