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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Haemophilia patients often require Factor VIII replacement therapy before procedures such as dental cleanings to prevent bleeding. The statement that the child does not need Factor VIII before a dental cleaning indicates a misunderstanding of the need for prophylactic treatment.

Choice B reason: Aspirin is contraindicated for children with haemophilia as it can inhibit platelet function and increase the risk of bleeding. The statement that it is okay to use aspirin reflects a lack of understanding of the appropriate pain management for haemophilia.

Choice C reason: While it is important for children with haemophilia to stay active, certain high-impact or contact sports may increase the risk of bleeding and should be avoided. The statement that there are no limitations on the type of activities indicates a lack of awareness about the need to choose safe activities.

Choice D reason: Swimming is a low-impact activity that is generally safe and beneficial for children with haemophilia. It promotes cardiovascular fitness and muscle strength without putting undue stress on the joints or increasing the risk of bleeding. This statement demonstrates an understanding of appropriate activity choices for a child with haemophilia.

A. An infant 6 hours old, 41 weeks and 5 days gestation. B. An infant 18 hours old, 36 weeks and 6 days gestation. C. An infant 34 hours old, 37 weeks and 3 days gestation. D. An infant 27 hours old, 38 weeks and 0 days gestation.

Correct Answer is B

Explanation

Choice A reason: A newborn at 41 weeks and 5 days gestation is past full term and, while being older in gestational age, does not typically present increased risk for feeding difficulties as compared to preterm infants. At 6 hours old, this infant would still be adapting, but no additional risk is posed by the gestational age.

Choice B reason: An infant born at 36 weeks and 6 days gestation is considered late preterm. Late preterm infants often have immature suck and swallow reflexes and may experience difficulties with feeding, coordinating breathing with feeding, and maintaining body temperature. These issues place them at a higher risk for feeding difficulties compared to full-term infants.

Choice C reason: A newborn at 37 weeks and 3 days gestation is considered early term and generally faces fewer risks compared to preterm infants. At 34 hours old, feeding patterns are still being established, but there are no significant additional risks related to their gestational age.

Choice D reason: An infant born at 38 weeks gestation is considered full term. At 27 hours old, the baby would still be in the early stages of adapting to feeding, but being full term generally implies a lower risk for feeding difficulties compared to preterm infants.

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The nurse is preparing to discharge a mother/baby couplet from the maternity unit. Which action by the parents requires further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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