Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?
A. Place an identification bracelet.
Placing an identification bracelet is important but not the immediate priority after ensuring a patent airway.
B. Dry the skin.
Drying the skin is a priority to prevent heat loss and promote thermoregulation in the newborn.
C. Administer vitamin K.
Administering vitamin K is important but can be done after drying the skin.
D. Administer eye prophylaxis.
Administering eye prophylaxis is important but can be done after drying the skin.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Maternal Newborn Proctored Exam 3 Reno 2 2020. Take the full exam now
Full Explanation
A. Placing an identification bracelet is important but not the immediate priority after ensuring a patent airway.
B. Drying the skin is a priority to prevent heat loss and promote thermoregulation in the newborn.
C. Administering vitamin K is important but can be done after drying the skin.
D. Administering eye prophylaxis is important but can be done after drying the skin.
Similar Questions
A nurse is providing teaching about newborn care to a client who is 2 hr postpartum. Which of the following statements by the client indicates a need for further teaching?
A. "My baby's bassinet should be kept away from fans and air conditioning."
Keeping the baby's bassinet away from fans and air conditioning is a correct practice to prevent chilling.
B. "My baby's temperature will be checked rectally every hour."
Checking the baby's temperature rectally every hour is not a standard practice and may lead to unnecessary discomfort for the baby.
C. "I should keep my baby's head covered."
Keeping the baby's head covered is generally recommended for warmth.
D. "I should keep my infant swaddled in a warm blanket."
Keeping the infant swaddled in a warm blanket is a good practice for maintaining warmth.
Full Explanation
A. Keeping the baby's bassinet away from fans and air conditioning is a correct practice to prevent chilling.
B. Checking the baby's temperature rectally every hour is not a standard practice and may lead to unnecessary discomfort for the baby.
C. Keeping the baby's head covered is generally recommended for warmth.
D. Keeping the infant swaddled in a warm blanket is a good practice for maintaining warmth.
Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?
A. Moderate bright red lochial flow
Moderate bright red lochial flow on postpartum day 14 may indicate excessive bleeding and is not indicative of normal involution.
B. Fundus below the symphysis and nonpalpable
A fundus below the symphysis and nonpalpable suggests a well-contracted uterus, which is indicative of normal involution.
C. Episiotomy slightly red and puffy
An episiotomy that is slightly red and puffy on day 14 may indicate ongoing healing, but it is not a direct measure of uterine involution.
D. Breasts firm and tender
Breasts that are firm and tender on postpartum day 14 may indicate engorgement, but they are not directly related to uterine involution.
Full Explanation
A. Moderate bright red lochial flow on postpartum day 14 may indicate excessive bleeding and is not indicative of normal involution.
B. A fundus below the symphysis and nonpalpable suggests a well-contracted uterus, which is indicative of normal involution.
C. An episiotomy that is slightly red and puffy on day 14 may indicate ongoing healing, but it is not a direct measure of uterine involution.
D. Breasts that are firm and tender on postpartum day 14 may indicate engorgement, but they are not directly related to uterine involution.
A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?
A. "I will place my baby on his stomach when he is sleeping."
Placing the baby on the stomach is not recommended due to the risk of sudden infant death syndrome (SIDS).
B. "I should place my baby's crib next to the heater to keep him warm during the winter."
Placing the crib next to the heater may cause overheating, which is a risk factor for SIDS.
C. "I should remove extra blankets from my baby's crib."
Removing extra blankets from the baby's crib is important to reduce the risk of SIDS.
D. "I should pad the mattress in my baby's crib so that he will be more comfortable when he sleeps."
Padding the mattress in the baby's crib is not recommended as it can pose a suffocation risk.
Full Explanation
A. Placing the baby on the stomach is not recommended due to the risk of sudden infant death syndrome (SIDS).
B. Placing the crib next to the heater may cause overheating, which is a risk factor for SIDS.
C. Removing extra blankets from the baby's crib is important to reduce the risk of SIDS.
D. Padding the mattress in the baby's crib is not recommended as it can pose a suffocation risk.