How can the nurse caring for a patient with a neonatal loss practice self-care?

Correct Answer: D

Rationale: In the context of nursing care for a patient with a neonatal loss, the correct answer is D) Debrief with manager and colleagues. This option is the most appropriate because debriefing provides the nurse with a structured and supportive environment to express their feelings, reflect on the experience, and receive emotional support from peers and supervisors. Option A) Refraining from discussing feelings at work is not advisable as bottling up emotions can lead to increased stress and burnout. Option B) Understanding that depression is normal after neonatal loss is important, but it is not sufficient on its own to address the nurse's emotional needs. Option C) Taking off work for a week may provide temporary relief, but it does not address the underlying emotional impact or provide ongoing support and coping strategies. In an educational context, it is crucial for nurses to understand the importance of self-care, especially in emotionally challenging situations like neonatal loss. Debriefing with colleagues and managers can help nurses process their emotions, prevent burnout, and maintain their mental well-being, ultimately leading to better patient care and job satisfaction.

Correct Answer: D

Rationale: The correct answer is D) NCSBN, the National Council of State Boards of Nursing. The CJMM, or the Clinical Judgment Measurement Model, was developed by NCSBN to help assess nursing students' clinical judgment abilities. NCSBN is a reputable organization in the field of nursing education and regulation, making it the most likely choice for developing such a critical tool. Option A) ACOG, the American College of Obstetricians and Gynecologists, focuses on women's health and is not directly involved in developing nursing assessment tools for newborn care. Option B) ANA, the American Nurses Association, is a professional organization that sets standards and guidelines for nursing practice but does not have a specific role in developing the CJMM for newborn care. Option C) AWHONN, the Association of Women's Health, Obstetric, and Neonatal Nurses, is dedicated to promoting the health of women and newborns but is not responsible for creating the CJMM. Understanding the organization behind the development of assessment tools like the CJMM is crucial for nursing students, as it provides insight into the standards and competencies being measured in their clinical judgment. Being familiar with organizations like NCSBN also helps students navigate the diverse landscape of nursing resources and regulatory bodies.

Correct Answer: B

Rationale: The correct answer is B: Heart rate of 145 beats per minute. This is expected in a newborn as their heart rate can range from 120-160 bpm. This indicates normal cardiac function. Choices A, C, and D are incorrect. A newborn's blood pressure is usually lower than 120/80. The normal temperature for a newborn is around 98.6-99.5°F. A respiratory rate of 62 breaths per minute is higher than normal for a newborn.

Correct Answer: C

Rationale: The Dubowitz/Ballard assessment tool is used to determine the neuromuscular and physical maturity of the newborn. This tool assesses various physical and neuromuscular characteristics to estimate the gestational age of the infant accurately. By evaluating factors such as skin texture, lanugo, ear formation, and posture, healthcare providers can assess the infant's developmental stage. This assessment helps in determining if the infant is born prematurely or post-term, guiding appropriate care and interventions. The other choices are incorrect because the tool is not primarily used for those purposes.

Correct Answer: B

Rationale: The correct answer is B: Suction the nose and then the mouth of the newborn to prevent aspiration. This is the most accurate statement because suctioning the nose first prevents any mucus or secretions from being pushed into the mouth during suctioning. Aspiration can occur if the baby inhales any secretions. Suctioning the mouth after the nose ensures that any remaining secretions are cleared. Choice A is incorrect because compressing the bulb syringe after insertion can cause trauma to the delicate nasal passages. Choice C is incorrect as using saline before suctioning is not necessary and may increase the risk of aspiration. Choice D is incorrect as placing the bulb syringe on the side of the infant's cheek is not an effective method for suctioning the mouth or nose.