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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 ["C","E"]

Explanation

Choice A rationale

Douching is generally not recommended, especially during pregnancy, because it can disrupt the natural balance of bacteria in the vagina, potentially leading to infections or other complications.

Choice B rationale

Avoiding urination at bedtime is not advisable, as holding in urine can increase the risk of urinary tract infections (UTIs). Frequent urination is a good practice to help prevent and manage UTIs.

Choice C rationale

Wearing cotton-crotch underwear is recommended because cotton is breathable and helps to keep the genital area dry, reducing the risk of infections and irritation.

Choice D rationale

Eliminating yogurt products from the diet is not necessary; in fact, yogurt contains probiotics that can be beneficial for maintaining a healthy balance of bacteria in the gut and vaginal area.

Choice E rationale

Refraining from taking bubble baths is advised, as the chemicals in bubble bath products can irritate the urethra and increase the risk of UTIs.

Correct Answer is A

Explanation

Choice A rationale

This finding indicates fetal distress. Recurrent variable decelerations in the fetal heart rate (FHR) can be a sign of umbilical cord compression, which can compromise fetal oxygenation.

Choice B rationale

Uterine contractions every 6 minutes are within the normal range for the latent phase of labor and do not indicate fetal risk.

Choice C rationale

Moderate variability of the FHR is a reassuring sign and suggests that the fetus is well-oxygenated and neurologically intact.

Choice D rationale

Uterine contractions lasting 30 to 45 seconds are typical for the latent phase of labor and do not indicate fetal distress.

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