As part of Standard Precautions, nurses wear gloves when handling ...

[tsand2]

As part of Standard Precautions, nurses wear gloves when handling the newborn. The chief reason is
 
  a. To protect the baby from infection
  b. It is part of the Apgar protocol
  c. To protect the nurse from contamination by the newborn
  d. Because the nurse has primary responsibility for the baby during the first 2 hours

Question 2

Which action is appropriate when the nurse is assessing breath sounds of an 18-month-old crying child?
 
  a. Ask the parent to quiet the child so the nurse can listen.
  b. Auscultate breath sounds and chart that the child was crying.
  c. Encourage the child to play with the stethoscope to distract and to calm down
  before auscultating.
  d. Document that data are not available because of noncompliance.

[otokexnaru]

Answer to Question 1

C
Feedback
A Proper hand hygiene is all that is necessary to protect the infant from infection.
B Wearing gloves is not necessary in order to complete the Apgar score
assessment.
C With the possibility of transmission of viruses such as HBV and HIV through
maternal blood and amniotic fluid, the newborn must be considered a potential
contamination source until proved otherwise. As part of Standard Precautions,
nurses should wear gloves when handling the newborn until blood and amniotic
fluid are removed by bathing.
D The nurse assigned to the mother-baby couplet has primary responsibility
regardless of whether or not she wears gloves.

Answer to Question 2

C
Feedback
A Asking a parent to quiet the child may or may not work.
B Auscultating while the child is crying typically results in less than optimal data.
C Distracting the child with an interesting activity can assist the child to calm
down so an accurate assessment can be made.
D Documenting that the child is not compliant is not appropriate. An assessment
needs to be completed.

[tsand2]

TYSM

[sultana.d]

Thanks for the timely response, appreciate it