In teaching parents to use a bulb syringe to suction an infant, the nurse should teach them to:

Correct Answer: B

Rationale: The correct answer is B) always suction the nose before suctioning the mouth when teaching parents to use a bulb syringe to suction an infant. This is important because suctioning the nose first helps to clear nasal passages, making it easier to suction the mouth without pushing secretions further back. This sequence minimizes the risk of aspiration and ensures effective suctioning. Option A is incorrect as suctioning the back of the throat vigorously can cause trauma to the delicate tissues and is not recommended. Option C is incorrect because the frequency of bulb syringe use should be based on the infant's needs, not limited to once a day. Option D is incorrect as inserting the syringe into the sides of the mouth can be uncomfortable for the infant and may not effectively remove secretions. In an educational context, teaching parents the correct technique for using a bulb syringe is crucial for their infant's respiratory health. By explaining the rationale behind the correct sequence of suctioning, parents can confidently and safely care for their newborn's nasal and oral hygiene. This knowledge empowers parents to provide competent care for their infant and promotes positive health outcomes.

Correct Answer: A

Rationale: Rationale: The correct answer is A) Increased risk of aspiration. As a nurse providing anticipatory guidance to parents of newborns, it is crucial to advise against allowing young siblings to feed an infant due to the risk of aspiration. Infants have underdeveloped swallowing reflexes and coordination, making them vulnerable to choking on milk or formula if fed by someone inexperienced. Aspiration occurs when fluid enters the airway instead of the stomach, leading to respiratory distress and potential complications like pneumonia. Option B) Increased risk of mouth injury is incorrect because while it is essential to supervise interactions between siblings and infants to prevent accidental injuries, feeding by itself does not pose a direct risk of mouth injury. Option C) Increased risk of bowel obstruction is incorrect as allowing young siblings to feed an infant is more likely to lead to issues related to feeding safety rather than bowel obstruction. Option D) Increased risk of vomiting is incorrect as vomiting is a common occurrence in infants due to various reasons such as overfeeding, reflux, or illness and is not directly associated with siblings feeding the infant. Educational Context: This question emphasizes the importance of providing safe and developmentally appropriate care for newborns. Educating parents on the risks of aspiration when allowing inexperienced individuals, like young siblings, to feed infants is crucial for ensuring the well-being and safety of the newborn. It highlights the nurse's role in empowering parents with knowledge to make informed decisions regarding newborn care practices.

Correct Answer: B

Rationale: In the context of maternal and newborn nursing, the correct answer to preventing breast engorgement for a new breastfeeding mother is option B) Breastfeed frequently and for adequate lengths of time to empty the breasts. This is the correct choice because frequent and thorough breastfeeding helps to stimulate milk flow, prevent milk stasis, and maintain breast comfort. When a mother breastfeeds often and ensures the breasts are emptied during each feeding session, it helps to prevent the build-up of excess milk that can lead to engorgement. Option A) Apply cold packs to the breast before feeding is incorrect because cold packs can actually decrease milk production and hinder the let-down reflex, making breastfeeding more difficult. Option C) Limit her intake of fluids for a few days is incorrect as adequate hydration is crucial for milk production and overall maternal health. Option D) Feed her infant no more than every 4 hours is incorrect as spacing out feedings too much can lead to decreased milk supply and potential engorgement issues. In an educational context, it is essential for nurses and healthcare providers to educate new breastfeeding mothers on the importance of frequent breastfeeding to prevent engorgement. By understanding the physiology behind milk production and the significance of emptying the breasts regularly, mothers can establish a successful breastfeeding routine that benefits both themselves and their newborns. Empowering mothers with this knowledge can enhance their breastfeeding experience and promote better maternal and infant health outcomes.

Correct Answer: B

Rationale: In a 3-lb. premature infant, the lack of subcutaneous fat is the primary reason for the problem of regulating body temperature. Subcutaneous fat provides insulation, which is crucial for maintaining body heat. Without this fat layer, the premature infant is more susceptible to heat loss. Option A is incorrect because the surface area of the premature infant being smaller does not directly impact the regulation of body temperature. Option C is incorrect as diaphoresis (excessive sweating) actually helps in cooling the body, not in retaining heat. Option D is also incorrect as the ability to produce body proteins is not specifically related to temperature regulation in this context. Educationally, understanding the challenges faced by premature infants in regulating body temperature is essential for nurses and healthcare professionals working in maternal and newborn care. It highlights the importance of providing appropriate environmental conditions, such as using incubators or radiant warmers, to help maintain the infant's body temperature within a safe range. It also underscores the significance of monitoring temperature closely and intervening promptly to prevent complications related to hypothermia in premature infants.

Correct Answer: A

Rationale: The correct answer is A) "I will observe the whitish-yellow drainage on his penis, but I will not remove it." This response demonstrates understanding because it shows the mother knows that some discharge after circumcision is normal and does not require removal. This indicates she understands the importance of allowing the natural healing process to occur. Option B is incorrect because routine removal of the whitish-yellow drainage is not necessary and could disrupt the healing process. Option C is incorrect as routine use of antibiotic ointment is not recommended unless specifically instructed by the healthcare provider due to the risk of antibiotic resistance and skin irritation. Option D is incorrect as rubbing the area briskly can cause irritation and discomfort, potentially interfering with healing. In an educational context, it is crucial for nurses to provide clear and accurate information to new mothers regarding newborn care, including circumcision aftercare. Understanding normal post-circumcision healing processes can help parents provide appropriate care and recognize when to seek medical advice if any concerns arise. Effective discharge teaching empowers parents to confidently care for their newborns at home while promoting optimal recovery and well-being.