The nurse is providing discharge teaching to a 20-year-old mother who has had her first male child. Which statement by the mother demonstrates that she understands the discharge teaching regarding his circumcision?

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.

Correct Answer: C

Rationale: Rationale: The correct answer is C) Newborns lack the intestinal flora needed to produce vitamin K, so it is given to prevent bleeding episodes. This is the best response because newborns have sterile intestines at birth and do not have the necessary gut bacteria to produce vitamin K. Vitamin K is crucial for the synthesis of clotting factors in the liver, and without it, newborns are at risk of bleeding disorders such as vitamin K deficiency bleeding. Administering vitamin K shortly after birth helps prevent these potential bleeding complications. Option A is incorrect because the primary reason for administering vitamin K to newborns is not related to digestion or the absorption of fat-soluble vitamins. Option B is incorrect as erythromycin ointment is given to prevent eye infections, not to provide vitamin K. Option D is incorrect because vitamin K does not substitute for vitamin C, and its main role in newborns is not related to strengthening the immune system but rather preventing bleeding issues due to vitamin K deficiency. In an educational context, it is essential for nurses and healthcare professionals to understand the rationale behind the administration of vitamin K to newborns to provide evidence-based care and address parental concerns effectively. New parents often have questions about procedures performed on their newborns, and having a clear understanding of the importance of vitamin K administration can help build trust and promote informed decision-making in newborn care.

Correct Answer: C

Rationale: In this scenario, the most appropriate statement by the nurse is option C: "This is a normal finding due to withdrawal of maternal hormones." This response is correct because it addresses the common occurrence of a small amount of blood in a newborn's diaper, known as pseudomenstruation, which is caused by the withdrawal of maternal hormones after birth. Option A is incorrect because blood in the diaper is not typically indicative of a urinary infection in a newborn. Option B is incorrect as jaundice does not cause blood in the diaper. Option D is also incorrect because while breast milk does provide immune support, it is not directly related to the presence of blood in the diaper. Educationally, understanding normal newborn physiology and common variations in the immediate postpartum period is crucial for nurses working in maternal and newborn care. It is important for nurses to provide accurate information and reassurance to parents to promote their understanding and confidence in caring for their newborn.

Correct Answer: A

Rationale: In the context of maternal and newborn nursing, when a newborn is diagnosed with neurological impairment, the most important nursing action is to assist the patient and her family with the grieving process (option A). This is crucial because receiving such news can be emotionally overwhelming for the family, and they need support to cope with the situation. By providing emotional support, the nurse can help the family navigate their feelings, understand the implications of the diagnosis, and begin the process of acceptance and adjustment to the new reality. Performing neurological assessments of the newborn every four hours (option B) is important for monitoring the newborn's health status, but it is not the most critical immediate action in this situation. While ongoing assessments are necessary for appropriate care, addressing the emotional needs of the family takes precedence. Arranging for social services to discuss possible placement of the newborn (option C) is premature at this stage. The focus should be on providing emotional support to the family and facilitating their understanding of the situation before discussing long-term care options. Obtaining an order for an antidepressant to help the patient cope with the news (option D) may be necessary in some cases to support the mother's mental health, but it should not be the initial or most important nursing action. Emotional support and guidance in the grieving process are fundamental before considering pharmacological interventions. In the educational context, this scenario highlights the importance of holistic nursing care that addresses not only the physical needs of the newborn but also the emotional and psychological needs of the family. It underscores the significance of effective communication, empathy, and support in helping patients and families navigate challenging healthcare situations.

Correct Answer: D

Rationale: In maternal and newborn nursing, assisting a patient with breastfeeding is a crucial skill for nurses. The correct answer, option D, involves touching the infant's cheek adjacent to the nipple to elicit the rooting reflex. This reflex helps the baby turn towards the nipple and initiate breastfeeding effectively, promoting successful latching and milk transfer. Option A is incorrect because positioning the infant to grasp the nipple to express milk is not the appropriate way to facilitate breastfeeding. It is essential for the baby to latch correctly for successful breastfeeding. Option B is incorrect as giving the infant a bottle first can interfere with establishing breastfeeding and can lead to nipple confusion for the newborn, affecting their ability to breastfeed effectively. Option C is incorrect because leaving the mother and infant alone without providing guidance and support on proper breastfeeding techniques may hinder the initiation of successful breastfeeding and could lead to challenges such as poor latch, ineffective milk transfer, and decreased milk supply. Educationally, it is essential for nurses to understand the importance of supporting and educating mothers on proper breastfeeding techniques to promote successful breastfeeding outcomes. By knowing how to elicit the rooting reflex and assist with proper latch, nurses can empower mothers to breastfeed confidently and establish a strong breastfeeding relationship with their newborns.