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.

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Correct Answer is B

Explanation

B. Slight yellow vaginal discharge is correct.This is a classic symptom of gonorrhea in females. Gonorrhea often causes mucopurulent cervicitis, leading to a mild yellow vaginal discharge. It’s one of the most common signs, especially in sexually active adolescents.

Incorrect options:

A. Low-grade fever for three days:
Not a typical early symptom of gonorrhea. Fever may occur in severe or disseminated gonococcal infections, but it's uncommon as an initial presentation.
C. Frothy, white vaginal discharge:
This is more characteristic of trichomoniasis, another STI, caused by Trichomonas vaginalis. The discharge is typically frothy, greenish-yellow, and accompanied by a foul odor.
D. Decrease in urinary frequency:
Not associated with gonorrhea. Gonorrhea can cause increased urinary frequency and urgency if the urethra is involved, but a decrease is not typical.

A. Perform a sharp hand clap near the infant. B. Place a finger at the base of the newborn's toes. C. Hold the newborn vertically allowing one foot to touch the table surface. D. Turn the newborn's head quickly to one side.

Correct Answer is A

Explanation

Choice A rationale

Performing a sharp hand clap near the infant activates the Moro reflex, a startle response present at birth that integrates by around six months of age. The reflex involves symmetric extension and abduction of the arms followed by flexion, demonstrating proper neurological function.

Choice B rationale

Placing a finger at the base of the newborn's toes elicits the plantar grasp reflex, not the Moro reflex. This reflex involves flexion of the toes when pressure is applied to the sole and is unrelated to startling the infant.

Choice C rationale

Holding the newborn vertically allowing one foot to touch the table surface elicits the stepping reflex, not the Moro reflex. This reflex involves simulated walking movements and is unrelated to assessing startle responses.

Choice D rationale

Turning the newborn's head quickly to one side elicits the tonic neck reflex (fencing reflex) rather than the Moro reflex. This reflex involves extension of the limbs on the side the head is turned and flexion on the opposite side. .

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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

Which assessment finding would the nurse expect to find in a sexually active adolescent female concerned that she has contracted gonorrhea?

Correct Answer is B

Explanation

Incorrect options:

A nurse is caring for a newborn and assessing newborn reflexes.To elicit the Moro reflex, the nurse should take which of the following actions?

Correct Answer is A

Explanation

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