What should the nurse implement for security purposes when bringing the infant from the nursery to the mother?

Ask the mother to identify herself verbally.

Confirm room number of mother.

Check the band number of the infant with that of the mother.

Ask, "Is this your band number?"

Answer and Explanation

The Correct Answer is C

A. Ask the mother to identify herself verbally: While verbal identification is helpful, it is not sufficient alone to ensure accurate matching of mother and infant. Reliance solely on verbal confirmation may lead to errors.

B. Confirm room number of mother: Room number may change or be shared in some units, making it an unreliable sole method for verifying identity. It does not guarantee the infant matches the correct mother.

C. Check the band number of the infant with that of the mother: Matching identification bands on both the infant and mother is the most reliable method to ensure correct maternal-infant pairing. This procedure reduces the risk of misidentification and ensures infant safety.

D. Ask, "Is this your band number?": Asking the mother to confirm a number without verification by staff is not a secure method. Human error or miscommunication could result in mismatching, making this approach insufficient for security purposes.

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Correct Answer is C

Explanation

A. Hypoxia from a deteriorated placenta: While placental insufficiency can occur in post-term pregnancies and affect oxygenation, it is not the primary factor that increases the risk of cold stress. Cold stress is related to heat loss rather than oxygenation status.

B. Polycythemia: Polycythemia may develop in post-term infants due to chronic intrauterine hypoxia, but it does not directly cause cold stress. It can complicate circulation, but heat regulation is primarily affected by skin and fat characteristics.

C. Inadequate vernix caseosa: Vernix provides insulation and reduces heat loss by evaporation. Post-term infants often have decreased or absent vernix, leaving the skin exposed and more susceptible to hypothermia and cold stress.

D. Fat stores have been used in utero for nourishment: While some fat may be metabolized in post-term infants if intrauterine nutrition is insufficient, the primary contributor to cold stress is the lack of vernix and protective skin barrier rather than depletion of fat stores.

A. 2nd B. 4th C. 1st D. 3rd

Correct Answer is A

Explanation

A. 2nd: For infants born preterm, developmental assessments are adjusted based on the corrected age, which accounts for the number of weeks the infant was born early. A 3-month-old infant born at 36 weeks (4 weeks early) would be evaluated as a 2-month-old to accurately reflect expected developmental milestones.

B. 4th: Using the chronological age of 3 months without adjustment would overestimate the infant’s developmental progress. Evaluating as 4 months would not be appropriate for correcting preterm birth.

C. 1st: Assessing the infant as 1 month old would underestimate developmental abilities, potentially missing delays or issues that are appropriate for corrected age.

D. 3rd: Evaluating a preterm infant using chronological age alone does not account for early birth. At 3 months chronological age, the infant’s corrected age is 2 months, which should guide the assessment for milestone achievement.

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What should the nurse implement for security purposes when bringing the infant from the nursery to the mother?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Why is the post-term neonate at risk for cold stress?

Correct Answer is C

Explanation

The nurse in a pediatrician's office is preparing to do a developmental assessment on a 3-month-old infant who was born at 36 weeks. The nurse knows that the infant should be evaluated in what month of achievement to adjust for the preterm birth?

Correct Answer is A

Explanation

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