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A breastfeeding mother changes her newborn's diaper and asks the nurse why the stool
is black and difficult to clean. What is the best response by the nurse?
1.
"This can be caused by blood in the stool and I will check it to make sure everything is
okay."
2.
"Let me call the physician and see if we need to supplement the baby with formula."
3.
"The stool is normal and called meconium. The baby may pass this for the first day or
two."
4.
"The iron you took during the pregnancy caused the stool to be tarry and thick." -
CORRECT ANSWER: 3.
"The stool is normal and called meconium. The baby may pass this for the first day or
two."
A client is concerned because her 2-hour-old newborn is sleeping skin-to-skin and will
not breastfeed. Which response by the nurse is correct to explain this behavior?
1.
"The medication you received in labor is affecting the baby's ability to stay awake."
,2.
"This is a normal response after birth and may last an hour or two."
3.
"The baby could be sleepy because of a low glucose level. Try to wake the baby up and
breastfeed."
4.
"We can give the baby a bath to wake the baby up." - CORRECT ANSWER: 2.
"This is a normal response after birth and may last an hour or two."
A client states that breastfeeding is very painful. The nurse observes redness and
cracking on both nipples. What actions by the nurse would be appropriate? Select all
that apply.
1.
Assess the infant's latch position.
2.
Instruct the client to apply ice to her breasts before feeding.
3.
Notify the health care provider to monitor for infection.
4.
Instruct the client to express colostrum and rub it on her nipple.
5.
Teach the client to wash breasts with water only. - CORRECT ANSWER: 1.
,Assess the infant's latch position.
3.
Notify the health care provider to monitor for infection.
4.
Instruct the client to express colostrum and rub it on her nipple.
5.
Teach the client to wash breasts with water only.
A day shift nurse gives a report to the night shift nurse on four newborns. Which
newborn should be assessed first?
1.
Newborn 15 hours old with acrocyanosis
2.
Preterm newborn breastfeeding for the second time
3.
Male newborn who failed the hearing test and was circumcised today
4.
Newborn with clear breath sounds and grunting - CORRECT ANSWER: 4.
Newborn with clear breath sounds and grunting
A G6P5 patient who is 24-hours post vaginal delivery reports severe cramp-like uterine
pain. What is the priority nursing intervention for this patient?
, 1.
Document the pain score in the electronic medical record.
2.
Assess the perineum for a vaginal hematoma.
3.
Encourage warm packs to the abdomen.
4.
Notify the healthcare provider STAT. - CORRECT ANSWER: 3.
Encourage warm packs to the abdomen.
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?
1.
"Even though my toddler is fully potty-trained, they have begun wetting their pants
again."
2.
"My toddler has insisted on using a bottle at mealtimes."
3.
"I caught my toddler hitting the baby when I was not in the room."
4.
"My toddler said they 'hated' the baby and has started to throw tantrums." - CORRECT
ANSWER: 3.
"I caught my toddler hitting the baby when I was not in the room."