Chapter 16

12. The nurse is teaching newborn care to an adolescent mother. When the nurse attempts to teach how to swaddle the newborn, the mother states, "What's the big deal about how to wrap up a baby?" The nurse needs to convey which reason as being most important for proper swaddling? 1. Improper swaddling can cause hip dysplasia. 2. Correct swaddling will increase the neonate's comfort. 3. Neonates are swaddled only until they can turn from front to back. 4. Two to three fingers need to fit between the infant's chest and the swaddle.

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5. A mother who is breastfeeding expresses concern about whether her infant is getting enough milk. Which concrete indicator does the nurse provide to the mother? 1. There are at least eight wet diapers and several stools per day. 2. The mother is physically and emotionally comfortable during feedings. 3. The newborn suckles and the mother can hear and/or see swallowing. 4. The newborn spontaneously releases the grip on the breast when satiated.

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10. The postnatal nurse is making a newborn visit to the parents who are from a different country. The nurse finds the newborn swaddled in a heavy blanket and wearing a knitted cap. The newborn has wet hair and is restless with rapid breathing. Which initial comment from the nurse is appropriate? 1. "Your baby is exhibiting some concerning symptoms." 2. "Share with me how babies are cared for in your country." 3. "I would like to explain how to dress your baby correctly." 4. "Let me explain the baby's symptoms of being overheated."

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19. The nurse is collecting information from a parent whose infant has frequent diaper dermatitis. Which comment by the parent indicates a possible cause of the condition? Select all that apply. 1. "I use disposable wipes to clean the diaper area." 2. "I buy an antibiotic ointment specified for skin rashes." 3. "I leave the diaper off while the baby is sleeping." 4. "I treat any sign of a rash immediately with zinc oxide." 5. "I even get up and change the baby's diaper during the night."

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2. The lactation nurse visits the room of a patient who is postpartum and being prepared for discharge. The nurse plans to provide breastfeeding information aimed at assisting the patient to continue breastfeeding her newborn. Which observation by the nurse indicates a possible disruption to the planned teaching? 1. The patient is currently breastfeeding her baby. 2. The patient is excited about taking her baby home. 3. The patient's partner is in the patient's room. 4. The patient states she has no questions or concerns.

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6. A breastfeeding mother is planning to return to work 3 months after her baby is born. The mother is planning to use an electric breast pump and freeze some breast milk for use later. Which information does the nurse need to provide? 1. Frozen breast milk can be defrosted in a microwave. 2. Breast milk can be kept in a deep freezer for 6 to 12 months. 3. The freezer door shelf decreases the chance of milk contamination. 4. Breast milk can only be frozen in special plastic freezer bags.

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9. The parents of a newborn male are concerned about providing care for the baby's new circumcision performed with a Plastibell. Which information will the nurse include in the teaching plan for the parents? 1. Apply lubricants to the penis to keep the diaper from sticking. 2. Report if penis is red, warm, and swollen and/or there is surgical site drainage. 3. Remove the plastic ring gently on the fifth day after surgery. 4. Contact the health care provider if newborn does not void for 36 hours.

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16. A new mother expresses severe frustration with an infant that is exhibiting symptoms of colic. Which suggestions from the nurse are aimed at infant safety? Select all that apply. 1. Hold the infant and sway from side to side or walk around with the infant. 2. Place the infant in a car seat and take him or her for a ride in the car. 3. Place the baby in a safe place and allow the baby to cry for 10 to 15 minutes. 4. Do simple household chores, such as vacuuming or washing the dishes. 5. Place the infant (abdomen down) over the knees and gently rub or pat the back.

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18. The nurse is concerned about the number of infants in the community who die from SIDS even with teaching about "back to sleep" being provided. On which additional preventive measures will the nurse focus? Select all that apply. 1. During pregnancy, women should not smoke, drink alcohol, or use illegal drugs. 2. Infants need to be dressed to prevent infants from overheating during sleep. 3. Mothers need to be informed that breastfeeding reduces the risk for SIDS. 4. Parents should not smoke or allow smoking around their baby. 5. Parents need to avoid products that claim to reduce the risk of SIDS.

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13. The nurse is preparing to teach a class on the benefits of breastfeeding for infants. Which benefits will the nurse include in the presentation? Select all that apply. 1. Decreased incidence of SIDS 2. Fewer cases of necrotizing enterocolitis 3. Less likely to become obese adults 4. Decreased risk for developing otitis media 5. Immunity to respiratory syncytial virus

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1. A patient in the second trimester of pregnancy is discussing breastfeeding and other options with the nurse. Which question is most important for the nurses to ask? 1. "How does your partner feel about you breastfeeding?" 2. "Do you have family members who have breastfed their babies?" 3. "What are the reasons why you are considering breastfeeding?" 4. "At what point after childbirth do you plan to return to work?"

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17. The nurse is teaching new parents about the Period of PURPLE Crying Program aimed at the prevention of shaken baby syndrome. At the end of the program, the nurse evaluates the program successful if parents select which fact? Select all that apply. 1. Your baby may not stop crying no matter what you do. 2. Your baby may cry more in the late afternoon and evening. 3. A serious condition exists if crying last 5 hours a day or more. 4. Your baby will cry less each week, the least during the first 2 months. 5. A crying baby may look to be in pain, even when he or she is not.

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11. The nurse is teaching the mother of a neonate the benefits of kangaroo care. Which action is explained to the mother regarding the procedure? 1. The neonate is tucked into the front of a parent's shirt. 2. A bare-chested neonate is held against a bare-chested parent. 3. A pouch is formed from a blanket for carrying the neonate. 4. The neonate is placed in a sling and placed on a parent's side.

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14. The postpartum nurse-manager wants the unit to become active as a supporter of the Baby-Friendly Hospital Initiative. Which nursing actions will be initiated? Select all that apply. 1. Give pacifiers to infants on demand. 2. Help mothers initiate breastfeeding within 1 hour of birth. 3. Teach breastfeeding and promote lactation to mothers separated from infants. 4. Refer mothers to support group resources on discharge. 5. Provide infants with water until a milk supply is established.

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15. The postpartum nurse is preparing to present infant care information to a couple who expresses concern about when to bathe their newborn. Which behaviors will the nurse present as general guidelines? Select all that apply. 1. Bathing is best after a feeding when newborn is relaxed. 2. Daily bathing with soap is not necessary for the newborn. 3. Use a mild preservative-free soap with a neutral pH. 4. Avoid the use of soap on the face of the newborn. 5. Genital and rectal areas should be cleaned at each diaper change.

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3. A patient in the first stage of pregnancy is discussing the options for feeding her infant, and asks the nurse, "Which is the most important reason I should consider breastfeeding my baby?" Which is the most significant reason the nurse presents? 1. Human milk proteins are easier to digest than protein in prepared formula. 2. The amount of cholesterol in human milk is essential for the baby. 3. Human milk contains multiple antibodies, enzymes, and immune factors. 4. Vitamins and minerals are transferred to human milk from the mother.

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6. A breastfeeding mother is planning to return to work 3 months after her baby is born. The mother is planning to use an electric breast pump and freeze some breast milk for use later. Which information does the nurse need to provide? 1. Frozen breast milk can be defrosted in a microwave. 2. Breast milk can be kept in a deep freezer for 6 to 12 months. 3. The freezer door shelf decreases the chance of milk contamination. 4. Breast milk can only be frozen in special plastic freezer bags.

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8. Which information is important for the nurse to provide to mothers of infants of 3 months of age regardless of the method of infant feeding? 1. Why breastfeeding delays the need for solid foods 2. When and what order solid foods are introduced 3. When growth spurts and dietary increases are expected 4. Why the babies are most likely to prefer food over milk

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4. A mother who is 2 weeks postpartum asks the nurse lactation specialist how she knows if her baby is hungry. Which hunger indicator does the nurse discuss? 1. Crying when all other physical needs are met 2. If 2 to 3 hours have passed since feeding 3. When the mother experiences a let-down sensation 4. Opening the mouth in response to tactile stimulation

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