Question 1

A woman has given birth to an unresponsive newborn that NICU staff are attempting to revive.The patient and her husband are grief stricken and request the child be baptized immediately.What is the nurse's most appropriate action?

Accepted Answer

If the condition of a newborn is poor,the parents may wish to have a baptism performed.The minister or priest is notified.However,this is an emergency,so the nurse may perform the baptism by pouring water on the infant's forehead while saying,"I baptize you in the name of the Father,and of the Son,and of the Holy Spirit." If there is any doubt as to whether the infant is alive,the baptism is given conditionally: "If you are capable of receiving baptism,I baptize you in the name of the Father,and of the Son,and of the Holy Spirit." The physician is attending to the patient's immediate health needs.

Question 2

While instructing a new mother on formula preparations,the nurse would include what types? (Select all that apply. )

Accepted Answer

Formula choices are ready-to-use,concentrated liquid formula that will be diluted according to the infant's needs,and powdered formula that is mixed as needed.Cow's milk and canned evaporated milk are unsuitable,because they are nutritionally inadequate and stress the kidneys.

Question 3

The nurse is giving a shower to a patient who had a cesarean section 2 days previously.What interventions should be included before,during,and after the shower? (Select all that apply. )

Accepted Answer

The patient should be evaluated for ambulatory ability,and the abdominal dressing and infusion site should be covered with a waterproof cover.The patient should be provided a shower chair and positioned with her back to the water stream.

Question 4

What postpartum exercises should the nurse teach a patient who had a vaginal delivery yesterday? (Select all that apply. )

Accepted Answer

Exercises for postpartum involution such as abdominal tighteners,head lifts,pelvic tilts,and Kegel exercises are acceptable.Leg lifts are too strenuous early in the postpartum period.

Question 5

The nurse is caring for a woman of Middle Eastern descent on the first postpartum day.Education is provided regarding instruction on use of a sitz bath.What documentation best indicates that the woman has understood the provided instruction?

Accepted Answer

The nurse may need an interpreter to understand and provide optimal care to the woman and her family.If possible,when discussing sensitive information the interpreter should not be a family member,who might interpret selectively.The interpreter should not be of a group that is in social or religious conflict with the patient and her family,an issue that might arise in many Middle Eastern cultures.It is also important to remember that an affirmative nod from the woman may be a sign of courtesy to the nurse rather than a sign of understanding or agreement.

Question 6

A woman required a cesarean section for safe delivery of her newborn.She is planning to breastfeed and verbalized concern about pain.What is the best suggestion by the nurse?

Accepted Answer

The best answer is to encourage use of the football hold to decrease pressure on the operative site.There is no indication for the woman to formula feed or pump.Some pain medications should not be taken when breastfeeding.

Question 7

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

Accepted Answer

The nurse should check the band number of the infant with that of the mother by asking the mother to verbally read the number.

Question 8

Which assessments would lead the nurse to determine the gestational age of the infant as preterm? (Select all that apply. )

Accepted Answer

The only signs of preterm are the thin skin and the slowly responding ear.

Question 9

The nurse is instructing a woman at 6 months postpartum on weaning her infant from breastfeeding.What interventions will the nurse suggest? (Select all that apply. )

Accepted Answer

When weaning a newborn from breastfeeding,the mother should eliminate the favorite feeding last.One feeding should be eliminated at a time,and the need for comfort feeding should be expected.In younger infants formula will need to be substituted.The mother should not be instructed to pump in place of eliminated feeding or the breasts will continue to produce milk.

Question 10

Below what blood glucose level is the newborn considered hypoglycemic?

Accepted Answer

A blood glucose level of less than 40 mg/dL is considered hypoglycemic.If the screening sample is below 40 mg/dL,a venous sample will be drawn.After the blood has been drawn,the infant should be fed to prevent a further drop.

Quiz 9: The Family After Birth