A new mother states, 'My baby is so thin and wrinkled. It looks like he has too much skin.' Which is the most therapeutic response by the nurse in response to the patient's statement?

Correct Answer: A

Rationale: The correct answer is A because it acknowledges the mother's feelings and offers empathy, showing understanding and validating her concerns. It encourages open communication and allows the mother to express her emotions. Incorrect choices: B: This response generalizes all mothers and does not address the specific concerns of the new mother. C: While this choice attempts to reassure the mother, it minimizes her feelings and may come across as dismissive. D: This response is accusatory, blaming the mother for the baby's appearance and could potentially cause guilt and defensiveness.

Correct Answer: A

Rationale: The correct answer is A: Depress the tip of the nose. This method checks for jaundice by observing for blanching of the skin. If jaundice is present, the skin will not blanch. This technique is specifically used to assess for jaundice in newborns. B, C, and D are incorrect because they do not provide a reliable way to assess for jaundice in newborns. Stroking the foot, placing a finger in the hand, or rotating the hips do not elicit a specific response related to jaundice. These techniques are not appropriate for evaluating newborn jaundice.

Correct Answer: B

Rationale: The correct answer is B: Vitamin K is needed to activate clotting factors. This is accurate because neonates have low levels of vitamin K and need it for blood clotting. Without adequate vitamin K, neonates are at risk of bleeding disorders. Incorrect choices: A: Neonates will hemorrhage without vitamin K - This is not entirely accurate as hemorrhage is a severe consequence of vitamin K deficiency, but the primary reason for giving vitamin K is to ensure proper clotting function. C: Mothers are unable to supply vitamin K to the fetus - This is incorrect as fetuses receive vitamin K from the placenta during pregnancy. D: Breastfeeding is an excellent source of vitamin K - This is incorrect as breast milk contains low levels of vitamin K, which is why neonates need supplementation shortly after birth.

Correct Answer: C

Rationale: The correct answer is C: Asymmetrical Moro reflex. This is concerning because the Moro reflex should be symmetrical, with both arms and legs extending and then flexing in response to a sudden movement or loud noise. An asymmetrical Moro reflex could indicate a neurological issue or injury. A: A fencing position when the head is turned is a normal response indicating a healthy neurological function. B: A strong Babinski reflex is normal in infants and can indicate a healthy nervous system development. D: The absence of rooting or sucking reflexes can be a concern but is not as immediate as an asymmetrical Moro reflex.

Correct Answer: D

Rationale: The correct answer is D because it accurately summarizes the purpose of newborn screenings, which include detecting infections, genetic diseases, and inherited disorders early on. This information is crucial for parents to understand the comprehensive nature of newborn screenings. A: This choice is incorrect because it is a general statement about newborn screenings in the United States, but it does not specifically address the important details about the purpose of the screenings. B: This choice is incorrect because it only mentions two specific tests within newborn screenings and does not encompass the full scope of conditions that screenings aim to detect. C: This choice is incorrect because it focuses on the legal aspect of newborn screenings rather than the information that is essential for parents to know about the screenings themselves.