Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reinforcing teaching about newborn care with a postpartum client. Which of the following statements by the client indicates a need for further teaching?
A. “I will use mild soap.”
Using mild soap is a suitable practice for newborn skin care.
B. “I will test the water on my wrist for temperature before bathing.”
Testing water temperature before bathing is a safety measure to prevent burns.
C. “Baby powder will help prevent a diaper rash.”
Baby powder is not recommended for newborns as it can cause respiratory issues when inhaled.
D. “I will use a basin during bathing.”
Using a basin during bathing is a reasonable approach to facilitate safe and controlled bathing.
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. Using mild soap is a suitable practice for newborn skin care.
B. Testing water temperature before bathing is a safety measure to prevent burns.
C. Baby powder is not recommended for newborns as it can cause respiratory issues when inhaled.
D. Using a basin during bathing is a reasonable approach to facilitate safe and controlled bathing.
Similar Questions
A woman gave birth 48 hours ago to a healthy infant girl. She has decided to bottle feed. During the assessment, the nurse notices that both breasts are swollen, warm, and tender on palpation. Which guidance should the nurse provide to the client at this time?
A. Wearing a loose-fitting bra to prevent nipple irritation.
Wearing a loose-fitting bra may provide comfort but does not address the underlying issue of engorgement.
B. Express small amounts of milk from the breasts to relieve the pressure.
Expressing small amounts of milk may stimulate further milk production and is not recommended in cases of bottle-feeding.
C. Run warm water on her breasts during a shower.
Running warm water on the breasts may increase blood flow and exacerbate swelling.
D. Apply ice to the breasts for comfort.
Cold compresses or ice are more appropriate for relieving discomfort and reducing swelling.
Full Explanation
A. Wearing a loose-fitting bra may provide comfort but does not address the underlying issue of engorgement.
B. Expressing small amounts of milk may stimulate further milk production and is not recommended in cases of bottle-feeding.
C. Running warm water on the breasts may increase blood flow and exacerbate swelling.
D. Cold compresses or ice are more appropriate for relieving discomfort and reducing swelling.
While examining a newborn, the nurse notes uneven skinfolds on the buttocks and a clunk when performing the Ortolani maneuver. These findings are likely indicative of what?
A. Webbing
Webbing typically refers to the presence of extra skin between body parts and is not associated with uneven skinfolds on the buttocks or a clunk during the Ortolani maneuver.
B. Clubfoot
Clubfoot refers to a deformity of the foot and is not associated with uneven skinfolds on the buttocks or hip abnormalities.
C. Hip dysplasia
Uneven skinfolds on the buttocks and a clunk during the Ortolani maneuver are indicative of hip dysplasia in a newborn.
D. Polydactyly
Polydactyly refers to the presence of extra fingers or toes and is unrelated to the described findings.
Full Explanation
A. Webbing typically refers to the presence of extra skin between body parts and is not associated with uneven skinfolds on the buttocks or a clunk during the Ortolani maneuver.
B. Clubfoot refers to a deformity of the foot and is not associated with uneven skinfolds on the buttocks or hip abnormalities.
C. Uneven skinfolds on the buttocks and a clunk during the Ortolani maneuver are indicative of hip dysplasia in a newborn.
D. Polydactyly refers to the presence of extra fingers or toes and is unrelated to the described findings.
While evaluating the reflexes of a newborn, the nurse notes that with a loud noise the newborn symmetrically abducts and extends his arms, his fingers fan out and form a C with the thumb and forefinger, and he has a slight tremor. The nurse would document this finding as a positive reflex.
A. Moro reflex
The described reflex is the Moro reflex, which is a normal startle reflex in newborns.
B. Babinski reflex
The Babinski reflex involves the extension of the big toe and fanning of the other toes in response to stroking the sole of the foot.
C. Tonic neck reflex
The Tonic neck reflex involves turning the head to one side, with the arm on that side extending and the opposite arm flexing.
D. Rooting reflex
The Rooting reflex involves turning the head and opening the mouth in response to cheek or mouth stimulation.
Full Explanation
A. The described reflex is the Moro reflex, which is a normal startle reflex in newborns.
B. The Babinski reflex involves the extension of the big toe and fanning of the other toes in response to stroking the sole of the foot.
C. The Tonic neck reflex involves turning the head to one side, with the arm on that side extending and the opposite arm flexing.
D. The Rooting reflex involves turning the head and opening the mouth in response to cheek or mouth stimulation.
