During a community health class, the nurse is educating prenatal ...

[mrsjacobs44]

During a community health class, the nurse is educating prenatal patients and their partners about normal newborn behavior. Which attendee's statement indicates that teaching was effective? I can expect that my newborn baby:
 
  1. Will be able to hear very well immediately after she is born.
  2. Should be trained to breastfeed by being encouraged to suck on a pacifier before feedings.
  3. Will have difficulty seeing me close up in the hours right after delivery.
  4. Should be discouraged form sucking on a pacifier if he is bottle feeding.

Question 2

During a post conference, nursing students are simulating physical assessment of the newborn using a model. Throughout the simulated assessment, students describe each of their actions.
 
  Which nursing student's statement indicates the need for further teaching?
  1. I measured the newborn's blood pressure using the Doppler technique.
  2. I auscultated the infant's heart tones for one minute.
  3. I palpated peripheral pulses in all the newborn's extremities.
  4. I obtained the infant's heart rate by observing the cardiac monitor.

[TDubDCFL]

Answer to Question 1

Correct Answer: 1
Rationale 1: Newborns have very acute hearing immediately after birth.
Rationale 2: Pacifiers should be offered to breastfed infants only after breastfeeding is well established or during prolonged times away from the mother, or when stressful or painful procedures are required.
Rationale 3: The newborn is nearsighted and has best vision at a distance of 8 to 15 inches.
Rationale 4: For bottle-fed infants, there is no reason to discourage nonnutritive sucking with a pacifier.

Answer to Question 2

Correct Answer: 4
Rationale 1: The measurement of blood pressure is best accomplished by using the Doppler technique with a size- and weight-appropriate cuff over the brachial artery.
Rationale 2: Apical pulse rates should be obtained by auscultation for a full minute, preferably when the newborn is asleep.
Rationale 3: Peripheral pulses of all extremities should also be evaluated to detect any inequalities or unusual characteristics.
Rationale 4: Physical assessment of the newborn's heart rate requires auscultation of the apical pulse for a full minute.

[mrsjacobs44]

Excellent

TYSM