A first-time parent is pending discharge from the hospital with a well-newborn. What information should the nurse include in the discharge teaching to the parents?
"Expect to wake your baby for all feedings."
"Your baby will not need additional immunizations until the 1 or 2 month check-ups."
"Your baby should gain full head control by 1 month."
"Expect your baby to triple their birth weight by 4-6 months."
The Correct Answer is B
Rationale:
A. While newborns need to feed frequently, particularly breastfed infants, parents do not need to wake their baby for every feeding unless advised by their healthcare provider due to specific concerns like low birth weight.
B. After birth, the newborn receives initial vaccinations, such as the hepatitis B vaccine. The next set of vaccinations is typically administered at the 1 or 2-month check-up, so no additional immunizations are needed immediately after discharge.
C. Full head control is generally achieved by around 4 months of age, not 1 month.
D. Babies typically triple their birth weight by around 12 months of age, not by 4-6 months.
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Correct Answer is A
Explanation
Rationale:
A. Circumcision is often delayed in newborns with hypospadias because the foreskin may be needed for the surgical repair of the urethra.
B. While surgery is necessary, it is not typically an emergency; it is planned and performed later in infancy.
C. In hypospadias, the urethral opening is located on the underside (ventral side) of the penis, not the top.
D. Undescended testicles (cryptorchidism) are a separate condition from hypospadias.
Correct Answer is C
Explanation
Rationale:
A. Restricting fiber is not necessary; instead, administering vitamin C with iron can enhance absorption.
B. Iron supplements can cause dark stools, but not blood in the stools. Blood in the stools requires further investigation.
C. Routine monitoring of blood counts is crucial to assess the effectiveness of the iron supplementation and to adjust the dosage as needed.
D. Iron supplements are better absorbed on an empty stomach; taking them with meals can reduce their absorption.