Author Question: When making a home visit, the nurse observes a newborn sleeping on his back in a bassinet. In one ... (Read 88 times)

B

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When making a home visit, the nurse observes a newborn sleeping on his back in a bassinet. In one corner of the bassinet is a soft stuffed animal and at the other end is a bulb syringe.
 
  The nurse determines that the mother needs additional teaching because of which of the following? A) The newborn should not be sleeping on his back.
  B) Stuffed animals should not be in areas where infants sleep.
  C) The bulb syringe should not be kept in the bassinet.
  D) This newborn should be sleeping in a crib.

Question 2

The nurse is identifying nursing diagnoses for a patient with gestational hypertension. Which diagnosis would be the most appropriate for this patient?
 
  A) Risk for injury related to fetal distress
  B) Imbalanced nutrition related to decreased sodium levels
  C) Ineffective tissue perfusion related to poor heart contraction
  D) Ineffective tissue perfusion related to vasoconstriction of blood vessels



zoeyesther

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Answer to Question 1

B
Feedback:
The nurse should instruct the mother to remove all fluffy bedding, quilts, stuffed animals, and pillows from the crib to prevent suffocation. Newborns and infants should be placed on their backs to sleep. Having the bulb syringe nearby in the bassinet is appropriate. Although a crib is the safest sleeping location, a bassinet is appropriate initially.

Answer to Question 2

D
Feedback:
In gestational hypertension, vasospasm occurs in both small and large arteries during pregnancy. This can lead to ineffective tissue perfusion. There is no evidence to suggest that the fetus is in distress. There is no enough information to support imbalanced nutrition. Gestational hypertension does not affect heart contractions.



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