The nurse educates the parents on actions to prevent sudden infant death syndrome.
Which observation indicates the teaching has been effective?

Mother removes pacifier from the newborn's mouth.

The newborn is on an every 2-hour feeding schedule.

Newborn is placed in bassinet on the back.

Newborn is placed in bassinet with a blanket draped over them.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Removing a pacifier does not align with preventing SIDS. Studies suggest pacifier use during sleep reduces the risk of SIDS by maintaining airway patency and ensuring better sleep quality, though it should be used appropriately without attaching strings or clips that may pose risks.

Choice B rationale

Feeding every 2 hours does not directly prevent SIDS but supports adequate nutrition for growth and development. While proper feeding schedules are important, specific sleeping arrangements and environment management play a more significant role in reducing SIDS risk.

Choice C rationale

Placing the newborn on their back to sleep aligns with safe sleep recommendations to prevent SIDS. This position reduces the risk of airway obstruction and promotes proper breathing. The supine sleep position is widely endorsed by health organizations for its protective effect.

Choice D rationale

Draping a blanket over the newborn increases the risk of suffocation and overheating, both of which are associated with SIDS. It is essential to keep sleep environments free of loose items and ensure the baby is dressed appropriately for the room's temperature to reduce these risks.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["C"]

Explanation

Choice A rationale

Assessing the baseline fetal heart rate (FHR) over a 10-minute period ensures accurate measurement by capturing rate fluctuations due to fetal activity or maternal factors. This duration is a standardized method to establish a representative baseline. Variability is excluded during this time, focusing on a stable resting rate.

Choice B rationale

Baseline FHR can be obtained using ultrasound or auscultation, both being reliable non-invasive methods for assessing fetal well-being. These tools accurately detect cardiac activity and provide real-time data, allowing consistent monitoring during labor.

Choice C rationale

Baseline FHR cannot be obtained during contractions due to transient accelerations or decelerations caused by uterine compression. These changes do not represent the resting heart rate. Accurate baseline assessments require a period without uterine activity to avoid skewed results.

Choice D rationale

A normal FHR of 110-160 bpm indicates adequate oxygenation and neural regulation. This range reflects the fetal cardiovascular system's ability to adapt to in utero conditions. Values outside this range might suggest hypoxia, infection, or other abnormalities.

A. Expose as much of the infant's skin to the lights as possible. B. Keep skin moisturized with lotion. C. Keep eye shields on at all times, including when breastfeeding. D. Tightly swaddle the infant in a blanket.

Correct Answer is A

Explanation

Choice A rationale

Maximizing skin exposure to phototherapy lights ensures effective breakdown of bilirubin through photoisomerization, reducing serum bilirubin levels. Phototherapy converts unconjugated bilirubin to water-soluble isomers that are excreted via bile and urine. Exposing more skin enhances light absorption, increasing treatment efficacy. Normal bilirubin levels in newborns range from 1 to 12 mg/dL. This intervention aligns with standard protocols for managing hyperbilirubinemia in neonates.

Choice B rationale

Applying lotion during phototherapy can cause skin burns by altering light penetration and causing a thermal effect. It may also increase the risk of skin irritation and infections. Phototherapy lights generate heat, and lotions can exacerbate these effects, leading to complications. Effective bilirubin management depends on clean, dry skin under the lights.

Choice C rationale

While eye shields are critical to protecting the infant’s retina and cornea from potential phototoxicity, removing them during breastfeeding is necessary. This promotes bonding and facilitates feeding. Continuous shield use can obstruct parental interaction and feeding, which are vital for infant care. Shielding should only occur during phototherapy exposure.

Choice D rationale

Swaddling restricts skin exposure to the therapeutic lights, negating the benefits of phototherapy. It prevents effective breakdown of bilirubin as less skin is exposed to the treatment. Neonates under phototherapy should be minimally clothed, often only wearing a diaper, to maximize light absorption and ensure treatment success.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse educates the parents on actions to prevent sudden infant death syndrome.Which observation indicates the teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for an infant following the surgical repair of an atrial septal defect.Which nursing interventions are appropriate for this infant? (Select all that apply.)

Correct Answer is ["C"]

Explanation

An 18-hour-old infant with hyperbilirubinemia is placed under phototherapy bank lights.Which of the following is an appropriate intervention for this infant?

Correct Answer is A

Explanation

When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for?

A nurse is teaching a newborn's parent to care for the umbilical cord stump.Which of the following instructions should the nurse include?

A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is contraindicated due to which of the following findings in the client's medical history?

A nurse is caring for a client who is in labor and has an external fetal monitor.The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event.The child's caregiver expects the child to use an inhaler without supervision.The nurse can apply which of the following interventions as protective factors for the child?

A clinic nurse is assessing a client with a suspected diagnosis of endometriosis.Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?

A nurse in a provider's office is planning care for a client who has a new diagnosis of polycystic ovarian syndrome.The nurse should plan to monitor which of the following laboratory values?

Which assessment finding in a newborn places them at risk for physiological jaundice?

The nurse educates the parents on actions to prevent sudden infant death syndrome.
Which observation indicates the teaching has been effective?