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A nurse is reinforcing teaching about crib safety with a group of prenatal clients. Which of the following information should the nurse include in the teaching?

A.

Place bumper pads securely between the mattress and the rails of the crib.

B.

Place your newborn on a foam-wedge cushion during naps.

C.

Use a plastic cover to protect the crib mattress.

D.

Ensure that the mattress fits securely against the sides of the crib.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Bumper pads can pose a suffocation risk to the newborn. The American Academy of Pediatrics advises against their use to promote a safe sleep environment.

 

Choice B rationale

 

Foam-wedge cushions are not recommended as they can increase the risk of suffocation and Sudden Infant Death Syndrome (SIDS) by obstructing airflow.

 

Choice C rationale

 

Plastic covers can pose a suffocation hazard. Instead, using a fitted sheet is safer and reduces the risk of suffocation.

 

Choice D rationale

 

A well-fitting mattress reduces gaps between the mattress and crib sides, preventing entrapment, which helps reduce the risk of suffocation and injury.


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Nausea can be a side effect of magnesium sulfate, but it is not a specific indication of toxicity. Other symptoms are more directly indicative of magnesium sulfate overdose.

Choice B rationale

Facial flushing is a common side effect of magnesium sulfate but is not a sign of toxicity. It typically occurs at therapeutic levels and is not a reliable indicator of overdose.

Choice C rationale

Urine output of 40 mL/hr is within normal limits for an adult and does not indicate magnesium sulfate toxicity. However, significantly decreased urine output could be concerning.

Choice D rationale

Respiratory rate of 10/min is a critical sign of magnesium sulfate toxicity. Magnesium sulfate can cause respiratory depression, and a rate of 10 breaths per minute or less indicates that the patient may be experiencing toxic effects, necessitating immediate medical intervention.

Correct Answer is C

Explanation

Choice A rationale

Starting each feeding with the same breast can lead to engorgement and decreased milk supply in the other breast.

Choice B rationale

Exclusive breastfeeding is recommended for the first six months. Providing a formula supplement can interfere with milk supply and breastfeeding success.

Choice C rationale

Allowing the newborn to empty the first breast ensures they receive hindmilk, which is richer in fat and essential for growth.

Choice D rationale

Newborns do not need additional water as breast milk or formula provides all necessary hydration.

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