You know that infant safety is important so which of the following should be in place to maintain infant safety:

Bulb syringe in crib

Secure hugs tag on and alarms activated

ID bands match with mom's ID bands

infant on their back to sleep

All of the above

Answer and Explanation

The Correct Answer is E

A) Bulb syringe in crib:
While a bulb syringe can be useful for clearing the infant’s airway in case of respiratory distress, keeping it in the crib is not an optimal safety practice. The syringe should be readily available but not within reach of the infant, as it could be a choking hazard if mishandled. Ideally, it should be stored in an easily accessible area but not within the crib.

B) Secure hugs tag on and alarms activated:
Ensuring that the infant has a security tag (often referred to as a "Hugs" tag) that is properly placed and that alarms are activated is an important safety measure to prevent infant abductions. Hospitals typically use electronic security systems that alert staff if the infant is removed from the designated area without proper authorization. This intervention is essential for maintaining safety in the hospital setting.

C) ID bands match with mom's ID bands:
It is critical that the infant's ID band matches the mother's ID band. This helps prevent any mix-up or baby swap and ensures that the infant is properly identified at all times. Regular checks should be made to verify that the bands match and remain secure throughout the hospital stay.

D) Infant on their back to sleep:
Placing the infant on their back to sleep is a key guideline for reducing the risk of Sudden Infant Death Syndrome (SIDS). This position has been proven to be the safest for infants and is a crucial practice for their well-being. Educating parents and caregivers about safe sleep practices is vital for infant safety.

E) All of the above:
All of these practices are part of a comprehensive safety plan for the infant. Ensuring that the infant is safely secured with proper identification, preventing any risk of abduction, promoting safe sleep practices, and ensuring that airway equipment is available are all essential measures in maintaining the safety of the newborn. Therefore, the correct response is "All of the above."

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Correct Answer is D

Explanation

A) Axillary temp of 96.9F (36.0 C) after 30 minutes of skin-to-skin contact with the mother:
A temperature of 96.9°F (36.0°C) is lower than the expected normal range for a newborn, which is typically between 97.7°F (36.5°C) and 99.5°F (37.5°C). However, after 30 minutes of skin-to-skin contact with the mother, the temperature is likely to increase as the infant benefits from the warmth of the mother's body. If the temperature does not rise or if it continues to decrease, further intervention would be necessary.

B) Respiratory rate of 58 during assessment at beginning of shift:
Newborns may have slightly irregular and rapid breathing patterns, especially right after birth, but this is not a cause for concern unless accompanied by signs of respiratory distress, such as retractions, flaring, or grunting.

C) Heart rate of 162 while crying vigorously after a diaper change:
It is not uncommon for a newborn to have an elevated heart rate when upset or crying. A heart rate of 162 while crying is expected and does not indicate a problem. Once the baby calms down, the heart rate will likely return to its baseline.

D) No void after 8 hours of life:
The absence of a urine output within the first 8 hours of life is concerning and requires immediate follow-up. Newborns typically void within the first 24 hours, and if there is no urine output by 8 hours, it could indicate a potential problem such as dehydration, urinary tract obstruction, or renal dysfunction. A healthcare provider should be notified promptly for further assessment and intervention.

A. Apply an ice pack to the perineum B. Teach the woman to insert nothing into her rectum C. Advise the woman to sit on a pillow D. Advise the woman to use sitz bath after each void

Correct Answer is A

Explanation

A) Apply an ice pack to the perineum:
For a second-degree perineal laceration sustained during delivery, ice application is an important intervention within the first 24 hours to reduce swelling, pain, and inflammation in the perineal area. Ice packs help constrict blood vessels, decrease tissue edema, and provide analgesic effects. This intervention is most effective immediately after delivery and within the first 2-4 hours to help manage pain and swelling at the site of the laceration.

B) Teach the woman to insert nothing into her rectum:
While it is true that women with perineal lacerations should avoid rectal trauma or anything inserted into the rectum (e.g., rectal thermometers, suppositories) for a period of time, this is not the most urgent or immediate action for this patient. The primary concern at this point is managing the acute symptoms related to the laceration (e.g., swelling, pain), which is best managed with ice packs and other measures. Teaching about avoiding rectal insertion would be important later in the postpartum period.
C) Advise the woman to sit on a pillow:
While sitting on a pillow can reduce pressure on the perineum and help with comfort, it is not the most immediate intervention for this woman, especially in the first few hours postpartum. The priority should be addressing swelling and pain associated with the perineal laceration, which is best managed with ice, as it helps with the acute management of the injury.

D) Advise the woman to use sitz bath after each void:
A sitz bath can be helpful for perineal healing in the postpartum period, but it is typically recommended after the first 24 hours post-delivery, after the initial swelling has gone down. During the first few hours to days postpartum, ice packs are generally the preferred intervention to manage swelling and pain, while sitz baths are often advised later to promote comfort, healing, and circulation in the perineum.

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You know that infant safety is important so which of the following should be in place to maintain infant safety:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

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