Neonatal Period: Discharge Planning and Teaching (Ch 16)
Which statement should the nurse include in an education program for parents regarding Sudden Infant Death Syndrome (SIDS)?
1 Babies need to be placed in the supine position for sleeping.
The nurse observes a client breastfeeding a newborn and completes a LATCH assessment of the feeding. The nurse notes the infant needs stimulation to latch, and has some audible swallowing with stimulation and minimal assistance from the nurse for positioning. The client's nipples are everted, and the client denies any pain or discomfort. What score will the nurse document?
1 7
Human breastmilk is composed of proteins, carbohydrates, and fats. What is the correct composition for proteins, carbohydrates, and fat in human breastmilk?
3 6%, 42%, 52%
When planning for a childbirth education class for pregnant clients, the nurse knows to include benefits of breastfeeding for infants. What will the nurse include in the education session? Select all that apply.
1 Gastroenteritis 3 Obesity 4 Asthma
A nurse enters the room of a new mother and newborn. The mother is sleeping in the bed and the infant is lying in the bassinet. The nurse notices the baby showing early signs of hunger and wakes the mother to breastfeed. What did the nurse notice? Select all that apply.
1 The newborn was placing a hand near the mouth. 3 The newborn was sucking on their hand.
The triage nurse receives a phone call from the parent of a 3-week old male infant. The parent states that the infant has had a pink tinge in their diaper for the last two days. How should the nurse respond?
2 "A pink color may indicate dehydration."
A client is breastfeeding her full-term newborn for the first time. She reports to the nurse that her nipples are sore. What suggestion can the nurse provide to the client after observing the feeding?
2 "Get all of the nipple and as much areola as you can in the baby's mouth."
The nurse is instructing a new parent on appropriate circumcision care to his newborn son. Which statement by the parent demonstrates effective teaching regarding circumcision care?
2 "I will apply a lubricant over the circumcision site with each diaper change."
A pregnant client presents to the labor and delivery unit in active labor with a history of no prenatal care. Initial lab work indicates a positive HIV status. What should the nurse advise the client to do?
2 Do not breastfeed the infant.
The nurse educator is creating an informational brochure on Sudden Infant Death Syndrome (SIDS) prevention to be given to new parents. Which information would the nurse include in the pamphlet? Select all that apply.
2 No loose bedding, pillows, or stuffed toys should be in the crib with the infant. 3 Pacifiers should be used during naps and overnight for all infants. 4 Avoid all secondhand smoke exposure for the infant.
The nurse understands that which is a primary reason that women stop breastfeeding before the eighth week?
2 Painful nipples
A new mother calls the provider's office, concerned about her toddler's behavior toward the family's newborn. Which statement by the mother would require further assessment by the nurse?
3 "I caught my toddler hitting the baby when I was not in the room."
A pediatric triage nurse receives a call from a parent of a 3-month old infant. The parent is very frustrated with the colicky symptoms the infant is presenting with and feels out of control. What can the nurse suggest?
3 "Place the baby in the crib and allow yourself 10-15 minutes to calm down."
A new mother in the postpartum unit calls the nurse to the bedside. The mother states, "I just changed my baby girl's diaper and noticed a small amount of pink discharge in her diaper. Do you think something is wrong with my baby?" Which statement is the nurse's best response to the mother?
3 "That is a normal finding as a result of the withdrawal of hormones from pregnancy."
A client is preparing to formula-feed her one-day-old newborn with a bottle. The client states, "I cannot remember how much to feed my baby, and this bottle is in milliliters. What is the most I should be feeding my baby with this bottle?" Enter the nurse's answer in numerical value.
30 AUTHOR'S NOTE: just 30 - do NOT tag with mL
The nurse overhears a client and spouse discussing the needs for the newborn to have daily baths to maintain cleanliness. What is the appropriate response from the nurse?
4 "Tell me more about what you know about bathing newborns."
An emergency room nurses admits a 6-week old infant. During the assessment, the nurse notes the infant to be lethargic. The infant vomits during the assessment and the parent reports that the infant has been eating poorly. Upon visual inspection of the infant, faint bruising is noted on the arms. What will the nurse be most concerned about?
4 Head trauma
A nurse is teaching a new mother about milk production. The client has questions about the hormones that stimulate milk production. What will the nurse include in the answer?
4 Prolactin increases
A nurse is providing discharge education to a new mother regarding umbilical cord care. Which action by the mother demonstrates effective teaching regarding umbilical cord care?
4 The mother cleans the umbilical cord with warm water and places on the outside of the diaper.
The nurse is providing discharge information to parents regarding use of the bulb syringe. The nurse identifies further teaching is needed when the parent demonstrates which behavior?
4 The parent places the bulb syringe straight back in the mouth to elicit a gag reflex.
