The nurse is assessing a 1-day old neonate and notes white raised spots on the baby's nose. What is the priority response?
Instruct parents to wash area with soap and water.
Notify the healthcare provider.
Explain to the parents that this is a sign of a skin infection.
Instruct parents not to pinch or poke pimple-like areas.
The Correct Answer is D
A. Washing the area aggressively is not necessary.
B. Notification of the healthcare provider is unnecessary for this benign finding.
C. Milia are not a sign of infection.
D. The white spots are milia, a common and benign finding in newborns. Parents should avoid pinching or poking them as they will resolve spontaneously.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Feed the infant at least 1 ounce of formula: Feeding may help if the baby is hungry, but it is not the first action in managing symptoms of NAS.
B. Collect a sterile urine specimen: This is an important step for diagnosing NAS but is not the immediate action to calm the infant.
C. Swaddle the infant with hands near its mouth: These symptoms are consistent with neonatal abstinence syndrome (NAS). Comfort measures such as swaddling and non-nutritive sucking are prioritized to soothe the infant.
D. Move the infant into a brightly lit area: A quiet, dim environment is better for soothing an overstimulated baby, so this action would be counterproductive.
Correct Answer is ["A","B","C","E"]
Explanation
A. Bottle-feeding formula is associated with a higher risk of childhood obesity compared to breastfeeding, due to differences in nutrient composition and feeding regulation.
B. Formula feeding is more expensive than breastfeeding, requiring the purchase of formula, bottles, and other supplies.
C. Formula feeding increases the risk of infections such as gastroenteritis, especially if bottles and nipples are not properly sterilized.
D. Bottle-feeding may reduce the opportunity for maternal-infant bonding compared to breastfeeding, which promotes skin-to-skin contact and the release of oxytocin.
E. This is a neutral factor and not a disadvantage; the ability for others to feed the infant can provide flexibility and support for the mother.
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