Which statement by a parent suggests that the nurse intervene with further teaching?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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.

Correct Answer: B

Rationale: A large infant born after a traumatic birth is at risk for shoulder dystocia, which may result in clavicle fracture or damage to the brachial plexus. Evaluating the flexion of both upper extremities can provide important information about any potential injuries. Gestational age status or growth chart percentile will not provide data about traumatic birth injuries, and while large infants are at risk for hypoglycemia, evaluating blood sugar alone may not address potential physical injuries.

Correct Answer: C

Rationale: The best confirmation of hyperbilirubinemia in an infant is through assessing the infant's bilirubin level. While the direct and indirect Coombs tests and maternal blood type are important in determining ABO incompatibility, the infant's bilirubin level provides the most definitive evidence of hyperbilirubinemia or pathologic jaundice.