The nurse recognizes what statement by the parent of a 10-month old as an understanding of safety?
"My baby likes to sleep on a fluffy pillow."
"I put the car seat on the table so my baby can see me easier."
"I only give my baby whole milk on special occasions."
"I moved the crib mattress to the low position last month."
The Correct Answer is D
Choice A reason: This is not a statement that shows an understanding of safety. A fluffy pillow can pose a suffocation risk for a 10-month old baby, who may not be able to move their head away from it. The nurse should educate the parent on the safe sleep practices for infants, such as placing the baby on their back, using a firm and flat surface, and avoiding soft bedding and toys in the crib.
Choice B reason: This is not a statement that shows an understanding of safety. A car seat on the table can be unstable and fall off, causing injury to the baby. The nurse should instruct the parent on the proper use and installation of the car seat, such as securing it in the back seat of the car, facing the rear, and using the harness straps and clips correctly.
Choice C reason: This is not a statement that shows an understanding of safety. Whole milk is not recommended for a 10-month old baby, who may not be able to digest it well and may develop an allergy or intolerance. The nurse should advise the parent on the appropriate nutrition for infants, such as breastfeeding or formula feeding until 12 months, and introducing solid foods gradually and with caution.
Choice D reason: This is the best answer. A crib mattress in the low position is safer for a 10-month old baby, who may be able to pull themselves up and try to climb out of the crib. The nurse should commend the parent on this action and remind them to check the crib for any hazards, such as loose screws, gaps, or sharp edges.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the best answer. Apgar score is a quick and simple assessment that evaluates the newborn's appearance, pulse, grimace, activity, and respiration. It is done at 1 minute and 5 minutes after birth, and sometimes at 10 minutes if needed. It helps to determine the newborn's condition and need for resuscitation or medical intervention.
Choice B reason: This is not the correct answer. Blood pressure reading is a measurement of the force of the blood against the walls of the arteries. It is not routinely done on newborns, unless there is a suspicion of a cardiac or renal problem. It is usually done after the first 24 hours of life, and then as indicated by the newborn's condition.
Choice C reason: This is not the correct answer. Head and chest circumference are measurements of the size and shape of the newborn's head and chest. They are done once within the first 24 hours of life, and then as indicated by the newborn's condition. They help to monitor the newborn's growth and development, and to detect any abnormalities or asymmetries.
Choice D reason: This is not the correct answer. Respiratory and abdominal assessment are examinations of the newborn's breathing and digestion. They are done once within the first 24 hours of life, and then as indicated by the newborn's condition. They help to evaluate the newborn's lung and bowel function, and to identify any signs of distress or complications.
Correct Answer is B
Explanation
Choice A reason: This is not the statement that the nurse should prioritize. The adolescent may be experiencing a crush or a rejection, which are common and normal feelings for their age. The nurse should listen and empathize with the adolescent, but also reassure them that there are other people who like and care for them, and that their self-worth is not dependent on one person's opinion.
Choice B reason: This is the statement that the nurse should prioritize. The adolescent may be suffering from an eating disorder or a body image disturbance, which are serious and potentially life-threatening conditions. The nurse should assess the adolescent's weight, height, vital signs, and nutritional intake, and refer them to a specialist if needed. The nurse should also educate the adolescent on the dangers of skipping meals, the benefits of a balanced diet, and the importance of self-acceptance and self-esteem.
Choice C reason: This is not the statement that the nurse should prioritize. The adolescent may be facing a peer pressure or a bullying situation, which are common and challenging issues for their age. The nurse should support and encourage the adolescent to pursue their interests and hobbies, and to stand up for themselves and others. The nurse should also help the adolescent to develop coping skills, such as assertiveness, problem-solving, and stress management.
Choice D reason: This is not the statement that the nurse should prioritize. The adolescent may be experiencing a role conflict or a career dilemma, which are common and normal dilemmas for their age. The nurse should respect and acknowledge the adolescent's preferences and aspirations, and help them to explore their options and potentials. The nurse should also facilitate a communication and understanding between the adolescent and their parent, and help them to reach a compromise or a solution.
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