Which of the following guidelines should the nurse implement to prevent the abduction of a newborn from the hospital?

Correct Answer: B

Rationale: The correct answer is B because questioning anyone seen walking in the hallways carrying an infant is a proactive measure to prevent newborn abduction. It is important to be vigilant and question individuals who do not have proper authorization or identification when carrying an infant. Restricting the time infants are out of the nursery and monitoring visitors are also important measures to prevent abduction.

Correct Answer: C

Rationale: In this scenario, option C is the statement that suggests the nurse should intervene with further teaching. This is because the parent is attributing symptoms of drooling, biting, and running a fever to teething, which may not be accurate. This statement raises concerns as it could indicate a lack of understanding regarding potential underlying health issues that may require medical attention rather than just being related to teething. Option A is a correct statement as it reflects the recommended safe sleep practice of placing a newborn on their back to reduce the risk of Sudden Infant Death Syndrome (SIDS). Option B is also accurate as intermittent eye crossing is a normal developmental milestone in infants. Option D demonstrates good parental awareness by considering waiting until the appropriate age to introduce solids, aligning with current guidelines to start solid foods around 6 months of age. From an educational perspective, this question highlights the importance of accurate health information for parents. It underscores the role of nurses in providing evidence-based education to support parents in making informed decisions about their child's health. It also emphasizes the significance of differentiating between normal developmental variations and symptoms that may require further evaluation by healthcare providers.

Correct Answer: A

Rationale: The correct answer is A - Assess the woman's knowledge of breastfeeding. Assessment is the first step in determining the mother's learning needs and readiness to breastfeed. Only after assessing her knowledge can appropriate instruction and support be provided. The other options may be important steps in the process, but assessment comes first.

Correct Answer: B

Rationale: The correct answer is B because the patient may be experiencing signs of engorgement, and placing the infant to feed more frequently may help prevent physical complaints of tenderness due to milk accumulation. Wearing a bra or using ice packs may provide comfort but will not resolve engorgement issues. It is important to address the root cause of the issue, which is milk accumulation.

Correct Answer: D

Rationale: Teaching parents the signs of overstimulation allows them to adjust their care to prevent overstimulation in the preterm infant. This empowers parents to provide appropriate care and create a soothing environment for the infant, ultimately reducing the risk of increased oxygen use due to overstimulation.