The mother of a 2-week-old infant tells the nurse that she thinks he is sleeping too much. What is the most appropriate nursing response to this mother?

“Tell me how many hours per day your baby sleeps."

"Newborns generally sleep 12 to 15 hours per day."

"It is normal for newborns to sleep most of the day."

"You will find as the baby gets older, he sleeps less."

Answer and Explanation

The Correct Answer is A

A. Tell me how many hours per day your baby sleeps: Asking for specific details allows the nurse to assess whether the infant’s sleep pattern is within normal limits or may indicate an underlying problem such as illness or feeding issues. This approach encourages dialogue and individualized assessment.

B. Newborns generally sleep 12 to 15 hours per day: While providing general information is helpful, it does not gather specific data about this infant’s sleep patterns, which is necessary to determine if there is a concern.

C. It is normal for newborns to sleep most of the day: This statement may reassure the parent prematurely without evaluating the infant’s actual sleep duration or any associated symptoms that might require attention.

D. You will find as the baby gets older, he sleeps less: Although true in general, this response does not address the parent’s immediate concern or assess whether the infant’s current sleep pattern is appropriate.

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Correct Answer is C

Explanation

A. Apneic episode: An apneic episode is characterized by a pause in breathing, often accompanied by cyanosis or bradycardia. Nasal flaring, retractions, and grunting are not specific to apnea but indicate active respiratory effort.

B. Post-maturity syndrome: Post-maturity syndrome occurs in infants born after 42 weeks and may include dry, peeling skin and meconium staining. Respiratory distress signs are not primary features of this condition.

C. Respiratory distress syndrome: Nasal flaring, sternal retractions, and expiratory grunting are classic signs of respiratory distress syndrome (RDS), commonly seen in preterm infants due to surfactant deficiency. These findings reflect increased work of breathing and impaired gas exchange.

D. Cold stress: Cold stress presents with hypothermia, increased respirations, and possible hypoglycemia. While tachypnea may occur, the combination of nasal flaring, retractions, and grunting specifically indicates RDS rather than cold stress.

A. Settling down B. Letting go C. Taking hold D. Taking in

Correct Answer is C

Explanation

A. Settling down: This stage refers to the gradual adjustment to parenthood over time, often weeks after birth. It involves adapting to the new family role and establishing routines, rather than the immediate confidence in performing newborn care.

B. Letting go: The letting go stage occurs later when the parent accepts the new role fully and relinquishes previous expectations or idealized views of parenthood. It is not typically observed in the first few days postpartum.

C. Taking hold: Taking hold usually begins within the first few days after birth and is characterized by increased independence, concern for the baby’s well-being, and eagerness to learn care skills. Expressing uncertainty about bathing the newborn reflects the mother’s active engagement and learning during this stage.

D. Taking in: The taking in stage occurs immediately after birth and focuses on the mother’s need for rest, reflection on the birth experience, and reliance on others for care. It involves more passive observation rather than active participation in newborn care.

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The mother of a 2-week-old infant tells the nurse that she thinks he is sleeping too much. What is the most appropriate nursing response to this mother?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing a preterm infant, the nurse observes nasal flaring, sternal retractions, and expiratory grunting. What do these findings indicate?

Correct Answer is C

Explanation

On the second postpartum day, a mother bathed her newborn for the first time. She tells the nurse, "I don't think I did it right." What postpartum psychological stage is this woman most likely in based on this comment?

Correct Answer is C

Explanation

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