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?
Place bumper pads securely between the mattress and the rails of the crib.
Place your newborn on a foam-wedge cushion during naps.
Use a plastic cover to protect the crib mattress.
Ensure that the mattress fits securely against the sides of the crib.
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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Correct Answer is B
Explanation
Choice A rationale
"Monitor perineal pads for clots.”. This is incorrect because while monitoring for clots is important, it does not address the underlying issue causing the fundal deviation.
Choice B rationale
"Assist the client to empty her bladder.”. This is correct because a full bladder can cause the uterus to deviate and impede uterine involution. Emptying the bladder helps the uterus to contract properly and return to its normal position.
Choice C rationale
"Notify the provider.”. This is incorrect because the immediate action should be to address the potential cause of the deviation (a full bladder), which can be managed by the nurse.
Choice D rationale
"Administer a prescribed analgesic.”. This is incorrect because administering pain relief does not address the cause of the fundal deviation and does not alleviate the potential issue.
Correct Answer is B
Explanation
Choice A rationale
Wearing a loose-fitting bra does not help in managing mastitis. Proper breast support and continuing breastfeeding are important to keep the milk flowing and reduce inflammation.
Choice B rationale
Continuing to breastfeed helps to clear the infection and maintain milk supply. It ensures that the ducts are cleared, reducing inflammation and aiding recovery from mastitis.
Choice C rationale
Limiting fluid intake is not recommended. Adequate hydration is crucial to help with milk production and overall recovery, especially during an infection.
Choice D rationale
An abdominal sonogram is not relevant to the management of mastitis. Treatment focuses on antibiotics, pain relief, and continued breastfeeding. .