The nurse is teaching the parents of a 1-day-old baby how to give a sponge bath. Which of the following actions should be included?

Correct Answer: C

Rationale: In teaching parents of a 1-day-old baby how to give a sponge bath, it is crucial to emphasize the importance of assembling all supplies before beginning the bath (Option C). This is the correct answer because preparation ensures that the bath process is smooth, safe, and efficient. By having all necessary items within reach, the parents can focus on the baby's care without interruptions. Option A, cleaning the eyes from outer canthus to inner canthus, is incorrect because this can introduce bacteria into the eye. Option B, cleansing the ear canals with a cotton swab, is also incorrect as inserting anything into the baby's ear can lead to injury or impacted earwax. Option D, checking the temperature of the bath water with the fingertips, is important but not the most critical step. In an educational context, emphasizing the importance of proper preparation before performing any infant care task is vital. It sets the foundation for safe and effective caregiving practices. Parents should be encouraged to gather all supplies such as soap, towels, clean clothes, and a safe bathing area before initiating the bath to ensure a positive and stress-free experience for both the baby and themselves.

Correct Answer: C

Rationale: In the context of postpartum body changes, option C, "If they take their baby outside," is the correct choice for anticipatory guidance to be provided to the couple. This recommendation is crucial as it addresses the need for parents to ensure their newborn's safety and well-being when exposing them to external environments. Taking a newborn outside exposes them to various elements such as sunlight, temperature changes, germs, and pollution. Educating parents on the importance of protecting their baby from these factors is essential for their health and development. Advising parents to avoid direct sunlight exposure, especially during peak hours, and to dress their baby appropriately for the weather helps in preventing overheating or chilling. Options A and B are incorrect as they provide potentially harmful advice. Waking a sleeping newborn for feeding is essential, especially in the early postpartum period to ensure they are adequately nourished and gaining weight. Delaying feedings can lead to dehydration and other complications. Option D is also incorrect as sunscreen is not recommended for newborns under six months due to their delicate skin. Instead, it is advised to keep them in the shade, dress them in protective clothing, and use hats to shield them from the sun. In summary, educating parents on safe practices when taking their newborn outside is vital in promoting their baby's health and well-being during the postpartum period. This guidance helps parents navigate the challenges of caring for a newborn and fosters a safe and nurturing environment for their child.

Correct Answer: C

Rationale: The correct answer is C) Brachial. In the context of assessing a baby's pulse, the brachial site is preferred due to its accessibility and accuracy in infants. The brachial pulse is located in the inner aspect of the baby's upper arm, making it easily palpable for assessment. This site is commonly used in pediatric care settings for assessing vital signs in infants. Option A) Carotid and B) Radial are incorrect because they are not typically used for assessing a baby's pulse. The carotid pulse is located in the neck and is not recommended for routine assessment in infants due to the risk of injury or compression of the delicate structures in the neck. The radial pulse is located in the wrist and is more commonly used in older children and adults. Option D) Pedal is also incorrect because it refers to the pulse in the foot, which is not a standard site for assessing a baby's pulse. In infants, the brachial pulse is preferred over the pedal pulse for accuracy and ease of assessment. Educationally, understanding the appropriate sites for pulse assessment in infants is crucial for healthcare providers working in pediatric settings. By knowing the correct sites and rationale behind their selection, nurses can ensure accurate assessment of vital signs in infants and provide safe and effective care.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Wash hands well before picking up the baby. This is crucial because proper hand hygiene helps prevent the transmission of harmful pathogens to the newborn, who has a developing immune system. Option B) Refrain from having visitors for the first month is incorrect as social support is important for new parents, and isolating them can lead to feelings of loneliness and postpartum depression. Option C) Wear a mask to prevent transmission of a cold is unnecessary unless the visitor is actively sick, as breastfeeding provides antibodies that can help protect the baby from illnesses. Option D) Sterilize the breast pump supplies after every use is important but not as critical as proper handwashing, which is essential to prevent the spread of infections to the vulnerable newborn. In an educational context, teaching parents about the importance of hand hygiene not only protects the baby but also empowers parents to take an active role in their baby's health and well-being. It also sets a foundation for practicing good hygiene habits in the household, promoting a safe environment for the newborn.

Correct Answer: C

Rationale: The correct answer is C) The woman waits to burp the baby until the baby's feeding is complete. This indicates successful teaching because burping a baby mid-feeding can interrupt their intake and lead to discomfort. Waiting until the feeding is complete allows the baby to consume their milk without unnecessary interruptions. Option A is incorrect because gently stroking and patting the baby's back is a common technique for burping, so it would actually indicate successful teaching. Option B is incorrect because positioning the baby in a sitting position on the lap is not the recommended position for burping. The baby should be held upright against the caregiver's chest or shoulder for effective burping. Option D is incorrect because any amount of regurgitated formula is not considered acceptable. It is important to burp the baby to prevent discomfort and spit-up. In an educational context, it is crucial to teach parents the correct techniques for burping to ensure the baby's comfort and well-being. Demonstrating and reinforcing proper burping practices can help caregivers feel more confident in caring for their infant's needs.