Select all that apply.

A nurse is providing comfort measures to a newborn during an assessment.

What non-pharmacological interventions can the nurse use to soothe the newborn?

Swaddling

Pacifiers

Gentle touch

Glucose water

Music therapy.

Answer and Explanation

Correct Answer : A,B,C,E

Swaddling, pacifiers, gentle touch and music therapy are all non-pharmacological interventions that can help soothe a newborn during an assessment.

These methods can provide comfort, security, distraction and stimulation for the newborn.

Choice D is wrong because glucose water is a pharmacological intervention that can be used to reduce pain during procedures such as heel sticks or circumcision. Glucose water should not be given routinely to newborns as it can interfere with breastfeeding and cause electrolyte imbalances.

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Correct Answer is C

Explanation

It helps identify potential developmental delays.The New Ballard Scale is a scale that estimates the gestational age of a newborn infant based on physical and neuromuscular characteristics.The scale can be used when there is no reliable obstetrical information or a major discrepancy between the estimated date of delivery and the infant’s appearance.The scale is accurate only within plus or minus 2 weeks and can be used up to 4 days after birth, but usually within the first 24 hours.The scale has been refined and expanded to include extremely premature neonates.

Choice A is wrong because the New Ballard Scale does not determine the newborn’s nutritional needs.It only assesses the gestational maturity of the newborn based on physical and neuromuscular signs.

Choice B is wrong because the New Ballard Scale does not assess the baby’s cognitive development.It only estimates the gestational age of the newborn, which is the primary determinant of organ maturity.

Choice D is wrong because the New Ballard Scale does not measure the newborn’s respiratory function.It only evaluates the physical and neuromuscular characteristics of the newborn, such as skin texture, lanugo, plantar surface, breast tissue, eye/ear development and genitalia.

A. Apply a thin ribbon of ointment along the inner canthus of each eye B. Wipe off any excess ointment after 5 minutes. C. Instill one drop of ointment into each conjunctival sac. D. Flush the eyes with sterile water after administration.

Correct Answer is A

Explanation

Apply a thin ribbon of ointment along the inner canthus of each eye.This is the recommended method for administering erythromycin ointment to a newborn’s eyes as prophylaxis for gonorrhea and chlamydia infections.The ointment should be applied into the conjunctival sac to avoid accidental injury to the eye.

ChoiceBis wrong because the eyes should not be wiped off after applying the ointment.The ointment will gradually dissolve and disperse over the eye surface.

ChoiceCis wrong because the medication is an ointment, not a drop.

A drop would not provide adequate coverage of the eye and would be more likely to cause irritation

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Select all that apply. A nurse is providing comfort measures to a newborn during an assessment. What non-pharmacological interventions can the nurse use to soothe the newborn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse about the purpose of the New Ballard Scale. How should the nurse respond?

Correct Answer is C

Explanation

A nurse is preparing to administer erythromycin ointment to a newborn’s eyes as prophylaxis for gonorrhea and chlamydia infections. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Select all that apply.

A nurse is providing comfort measures to a newborn during an assessment.

What non-pharmacological interventions can the nurse use to soothe the newborn?