The nurse knows that the mother of a newborn understands associated health risks to her baby when she states
a. "I need to moisten the umbilical cord every hour during the day until the cord falls off."
b. "I need to remind anyone who wants to hold the baby to wash their hands."
c. "I need to leave the blankets off the baby to prevent smothering."
d. "I can throw away the bulb syringe now because my baby is breathing on her own."
ANS: B
Prevention of infection is a major concern in the care of the newborn. Good handwashing technique is the most important factor in protecting the newborn from infection. The umbilical stump should be kept clean and dry. Newborns are susceptible to heat loss and cold stress. Place the new born directly on the mother's abdomen, and cover him or her in warm blankets, making sure to keep the head well covered, or placed unclothed in an infant warmer with a temperature probe in place. Removal of nasopharyngeal and oropharyngeal secretions remains a priority of care to maintain a patent airway.
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When discussing the health care delivery system, the nurse must recognize that:
a. it includes all states. b. it affects the illness of patients. c. insurance companies are not involved. d. the major goal is to achieve optimal levels of health care.
A patient exposed to anthrax by inhalation is being treated in the local hospital. What signs and symptoms would indicate that the patient is in the second stage of infection?
A) Headache B) Vomiting C) Syncope D) Respiratory distress
A primigravida client has just arrived in the birthing unit. What steps would be most important for the nurse to perform to gain an understanding of the physical status of the client and her fetus? (Select all that apply.)
A. Check for ruptured membranes, and apply a fetal scalp electrode. B. Auscultate the fetal heart rate between and during contractions. C. Palpate contractions and resting uterine tone. D. Assess the blood pressure, temperature, respiratory rate, and pulse rate. E. Perform a vaginal exam for cervical dilation, and perform Leopold's maneuvers.
The nurse prepares to enter the room of a child who requires isolation precautions. Which actions will the nurse take to ease the child's fears? Select all that apply.
A. Introduce self before donning a mask, if possible. B. Encourage the child to play with the equipment. C. Visit the client frequently. D. Group nursing tasks to decrease contact. E. Encourage the child to walk the halls frequently.