A nurse is teaching about crib safety with the parent of a newborn.
Which of the following statements by the client indicates understanding of the teaching?
I should place my baby’s crib next to the heater to keep him warm during the winter.
I should remove extra blankets from my baby’s crib.
I should pad the mattress in my baby’s crib so that he will be more comfortable when he sleeps.
I will place my baby on his stomach when he is sleeping.
The Correct Answer is B
Choice A rationale
Placing a baby’s crib next to a heater can pose a risk of overheating or burns. Newborns should be kept at a safe distance from heaters to prevent accidents.
Choice B rationale
Removing extra blankets from the crib is recommended to reduce the risk of suffocation and sudden infant death syndrome (SIDS). This choice reflects an understanding of crib safety.
Choice C rationale
Padding the mattress can pose suffocation risks and is not recommended. A firm mattress without any padding is the safest option for newborns.
Choice D rationale
Placing a baby on their stomach to sleep increases the risk of SIDS. The recommended sleeping position for newborns is on their back, as this significantly reduces the risk.
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Correct Answer is B
Explanation
Choice A rationale
Vitamin K has no role in stabilizing blood glucose levels; hypoglycemia in newborns is managed differently.
Choice B rationale
Vitamin K is essential for blood clotting, and newborns typically have low stores at birth, necessitating supplementation to prevent bleeding disorders.
Choice C rationale
There is no established link between maternal fever and the need for vitamin K; prophylaxis is standard for all newborns regardless of maternal health.
Choice D rationale
Newborns do not have sufficient prothrombin or other clotting factors, which is why vitamin K administration is critical.
Correct Answer is D
Explanation
Choice A rationale
Administering vitamin K is important but not the immediate priority right after birth.
Choice B rationale
Administering eye prophylaxis is also necessary but comes after ensuring the newborn is dry to prevent heat loss.
Choice C rationale
Placing an identification bracelet is crucial but not as immediate as drying the skin to regulate the baby's temperature.
Choice D rationale
Drying the skin is the priority to prevent hypothermia by reducing evaporative heat loss right after birth