PLEASE ANSWER THE FOLLOWING QUESTIONS AND PROVIDE ARATIONALE TO THE ANSWER.
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The nurse is completing the discharge teaching for afirst -time mother. Which statement by the mother requiresimmediate nursing intervention?
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Possible Answers |
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“I will put my baby to bed with his bottle so he doesn’tget hungry during the night. He needs to eatfrequently |
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“My baby will probably have a bowel movement for eachbreastfeeding and will wet often |
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“Breast feeding on demand or at least every two to threehours is normal for a total of 8-12 feedings every day for the nextfew weeks.” |
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“I should put my baby to bed on his back after feedingand burping him |
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The nursery nurse is completing the initial newbornphysical assessment after delivery. The infant is 37 weeks 5 daysgestation, weight of 4000 grams, APGARS of 8 and 9. Which of thefollowing assessments requires immediate notification to thepediatrician?
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Possible Answers |
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Irregular respiratory rate of 64., |
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heal stick blood test indicates of blood glucose48., |
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Umbellic cord contains 2 small vessels and one largevessel. |
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skin with yellow undertones noted after pressing on theforehead and sternum. |
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The nursery nurse has received report on four infants.Which of the following should the nurse assess first?
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Newborn with a gestational age of 34 weeks 1 day,delivered 6 hours ago with a respiratory rate of 56, HR 154,breathing only through the nares, |
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a neonate born at 41 weeks who is 18 hours old withcracking skin noted in neck folds and shiny, dry skin who hadmeconium stained amniotic fluid at birth.,. |
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a neonate with a gestational age of 36 weeks 6 days,with blue hands and feet at 6 hours of age, |
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A neonate with a gestational age of 39 weeks 0days,delivered 4 hours ago with a RR 34 and nasal flaring, |
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Which of the following statements by a newly hirednursery nurse indicated the need for additionaleducation?
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Possible Answers Screening for critical cardiac heart disease (CCHD)should be done in a quiet environment. |
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A baby suspected to be going through opioid withdrawalmay not demonstrate signs or symptoms of neonatal abstinencesyndrome during the first day of life., |
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Neonatal abstinence syndrome can occur in newborns whosemothers have been prescribed opioids for chronicpain., |
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Screening for critical cardiac heart disease (CCHD),should be initiated by 12 hours of age and then repeated every 24hours until discharge, |
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A 38-week gestation neonate born 16 hours ago is notedto have significant yellowing skin undertones. The mother is Onegative and had no prenatal care. The infant is being evaluatedfor hyperbilirubinemia by the pediatrician. The nursery nurse’spriority education for the mother is regarding:
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Possible Answers |
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exploring with her why she did not seek prenatal careand her potential for postpartum depression. |
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the infant’s physiologic jaundice and the need tobreastfeed frequently, |
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the infant’s need for a Rho Gram injection within 72hours after birth |
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a potential for pathologic jaundice which can result inbrain injury or kernicturus if not treated early. |
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During a childbirth preparation class, the nurse isexplaining the benefits of breast feeding for soon to be parents.All of the following advantages of breast feeding should beincluded except:
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Possible answers |
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Promotes optimal mother–infant bonding, |
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Provides protection against food allergies, |
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Results in longer sleep periods during thenight |
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Contributes to the development of a strong immunesystem, |
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When providing a class to prenatal couples, the nurseexplains the importance of breast feeding in the first hour afterbirth as it is the:
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Possible Answers |
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First period of reactivity. It is also known as thegolden hour. A healthy baby will be most responsive early afterbirth. |
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The only time they will have to hold the baby initially.After the first hour, the baby will be taken to the nursery forbathing and newborn testing. |
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Organizational stage. Feeding early will help establishroutine to aid in setting precise feeding schedules for thenewborn |
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Early fetal period. Hypoglycemia will be prevented ifthe baby is fed early. |
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The nurse is conducting a newborn assessment on a babygirl who was born full term to a diabetic mother 46 hours ago. Thebaby was small for gestational age (SGA). The baby is lethargic.Her last heal stick for blood glucose is 48. The baby’s temperatureis 36.0, respiratory rate of 30 and a heart rate of 102. Thenurse’s priority intervention is:
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Possible Answers |
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transcutaneous bilirubin testing and prepare forphototherapy |
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give the baby a bottle with formula, |
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notify the pediatrician, |
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repeat heal stick for blood sugar and increase breastfeeding frequency, |
