The nurse is providing education to a mother of an uncircumcised male infant. What hygiene education would be the most appropriate for the nurse to provide?

Instruct her to use a cotton swab to clean under the foreskin.

Instruct her to clean the penis by retracting the foreskin.

Instruct her not to retract the foreskin.

Instruct her cleansing the foreskin is not needed.

Answer and Explanation

The Correct Answer is C

A. Cotton swabs are unnecessary and may cause irritation.

B. Forcing the foreskin to retract may cause injury.

C. In newborns and infants, the foreskin is typically non-retractable and should not be forcibly retracted. It will gradually separate on its own as the child grows.

D. Regular cleaning of the external genitalia is needed, but without retracting the foreskin.

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Correct Answer is C

Explanation

A. The Ballard tool does not assess behavioral maturity directly.
B. The reflexes are part of the neuromuscular system, but the tool assesses both neuromuscular and physical maturity.
C. The Ballard assessment tool evaluates both neuromuscular maturity (such as posture, square window sign, arm recoil) and physical maturity (such as skin, ear form, breast tissue) in neonates to assess gestational age.
D. Reflexes are part of neuromuscular maturity, but the tool combines both neuromuscular and physical components.

A. Perform a gestational age assessment to confirm risk factors. B. Obtain a glucose level on the neonate via a heelstick. C. Perform assessment under a radiant warmer. D. Feed the neonate 30mL of formula or glucose water.

Correct Answer is B

Explanation

A. While important, assessing gestational age is not the priority over identifying hypoglycemia.
B. Infants of mothers with gestational diabetes (especially those with macrosomia >4 kg) are at risk for hypoglycemia. Monitoring glucose levels immediately is essential to detect and manage low blood sugar.
C. Temperature regulation is important but secondary to monitoring glucose in this scenario.
D. Feeding may be necessary, but glucose monitoring guides the decision for feeding or other interventions.

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The nurse is providing education to a mother of an uncircumcised male infant. What hygiene education would be the most appropriate for the nurse to provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse completing a gestational exam using the Ballard assessment tool understands that this assesses which two maturity components?

Correct Answer is C

Explanation

A nurse admitted a neonate born less than 2 hours ago to a mother with gestational diabetes. The neonate weighs 4.5 kg. What is the priority nursing action for this neonate?

Correct Answer is B

Explanation

Complete the following sentence by using the list of options. Clinical management strategies for prevention of retinopathy of prematurity (ROP) focus on targeting appropriate ______ for infants at risk.

The nurse is providing education to a mother of an uncircumcised male infant. What hygiene education would be the most appropriate for the nurse to provide?

A nurse places a newborn under a radiant heat warmer after birth. The purpose of this action is to prevent which of the following in the newborn?

The nurse notes that a newborn, who is 5 minutes old, exhibits the following characteristics: pink body with blue hands and feet, heart rate 108 bpm. respiratory rate 36 per minute, some flexion, and a vigorous cry with stimulation. What does the nurse determine the baby's APGAR score to be?

A nurse is caring for a newborn who was born at 38 weeks of gestation. Exhibits A nurse is initiating the newborn's plan of care. Complete he following sentence by using the list of options. The nurse should first address the client's dropdown followed by the client's dropdown

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A newborn is experiencing symptoms of cold stress. Which assessment data by the nurse will require further evaluation for stress protocol? (Select All that Apply.)

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching?