The nurse is preparing to discharge a mother/baby couplet from the maternity unit. Which action by the parents requires further teaching?
Burping the baby on their shoulder.
Swaddling the baby in the bassinet.
Placing the baby on their side for sleep.
Waking the baby for feedings.
The Correct Answer is C
Choice A reason: Burping the baby on their shoulder is a common and effective method to help release air that the baby may have swallowed during feeding. It does not require further teaching.
Choice B reason: Swaddling the baby in the bassinet can help the baby feel secure and sleep better. However, it is important to ensure that the swaddle is not too tight and that the baby's hips can move freely to prevent hip dysplasia.
Choice C reason: Placing the baby on their side for sleep is not recommended due to the increased risk of sudden infant death syndrome (SIDS). The safest sleep position for babies is on their back, on a firm mattress, without any loose bedding or soft toys.
Choice D reason: Waking the baby for feedings is often necessary, especially in the early weeks, to ensure that the baby gets enough nutrition and maintains an adequate weight gain. It does not require further teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While an oxygen saturation of 94% is slightly low, it is not an immediate emergency for a child with asthma. This patient can be monitored but does not require the nurse's immediate attention.
Choice B reason: Severe chest pain in a patient with sickle cell anaemia can indicate a serious complication known as acute chest syndrome, which is a medical emergency. This condition requires immediate assessment and intervention to prevent life-threatening complications.
Choice C reason: A urine specific gravity of 1.010 indicates dilute urine, which is typical for a patient with diabetes insipidus. While this condition requires management, it is not an immediate emergency compared to severe chest pain in a sickle cell anaemia patient.
Choice D reason: A fever of 102.2°F in a child with respiratory syncytial virus (RSV) is concerning and requires attention, but it is not as immediately life-threatening as severe chest pain in a sickle cell anaemia patient. This patient can be seen after addressing the more urgent case.
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Correct Answer is A
Explanation
Choice A reason: Informing the patient that they are in latent Labor is appropriate in this situation. Latent Labor, also known as early Labor, is characterized by cervical dilation of up to 3 cm and mild contractions that may last for several hours or even days. It is important to educate the patient about the early stages of Labor and what to expect as it progresses.
Choice B reason: Initiating Labor augmentation is not necessary at this point. Labor augmentation is typically used when Labor is not progressing adequately. In this case, the patient is in the early stages of Labor, and there is no indication that augmentation is needed.
Choice C reason: Preparing the patient for a caesarean delivery is not warranted based on the information provided. The patient's condition does not suggest any immediate need for a caesarean section, and the Labor is still in its early stages.
Choice D reason: Anticipating admission to the Labor and delivery unit may not be required at this stage. Since the patient is in latent Labor, they may be advised to stay at home until Labor progresses further and the contractions become more intense and frequent. This helps reduce unnecessary hospital admissions and allows the patient to be more comfortable in their home environment.
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