Summary Chapter 23: Home Care of the Infant MULTIPLE CHOICE 1. A client is being prepared for discharge with her newborn. She tells you about the antique crib she inherited from her grandmother and how excited she is about using it for

Chapter 23: Home Care of the Infant Chapter 23: Home Care of the Infant MULTIPLE CHOICE 1. A client is being prepared for discharge with her newborn. She tells you about the antique crib she inherited from her grandmother and how excited she is about using it for her newborn. Which information should be cause for concern? b. The crib has been stripped and repainted with a lead-free paint. c. The mattress fits snugly in the crib with ½-inch space around the sides. d. The side rail hardware has been replaced so that the latches remain fastened. ANS: A An infant’s head may become wedged between slats that are more than 3 inches apart. The crib should be painted with lead-free paint, which is safest and appropriate. The mattress needs to fit snugly to prevent suffocation. Replacing the side rail hardware so that the latches remain fastened is the appropriate action to ensure the safety of the crib. PTS: 1 DIF: Cognitive Level: Analysis REF: 466 OBJ: Nursing Process Step: Evaluation MSC: Client Needs: Health Promotion and Maintenance 2. Which intervention will be most helpful to parents in identifying problems with an infant car seat? a. Questioning the parents about the instructions b. Providing the parents with current laws on infant and child safety c. Asking the parents to demonstrate how to secure the infant in the car seat d. Allowing the parents to ask questions and express feelings about infant restraint ANS: C If the nurse observes the parents demonstrating the use of the car seat, any problems or misunderstandings can be identified. Questioning the parents is not a helpful way to identify problems with a car seat; a return demonstration is better. Providing information without a return demonstration will not prove that the parents are comfortable with the car seat for the infant. A return demonstration is a better way to ensure that the parents understand car seat safety. PTS: 1 DIF: Cognitive Level: Application REF: 466, 467 OBJ: Nursing Process Step: Implementation MSC: Client Needs: Safe and Effective Care Environment 3. Which statement made by a parent indicates a need for the nurse to teach safety and accident prevention? a. “I always take the phone off the hook when I give my baby a bath so I won’t be disturbed.” b. “I’m going to buy a backpack for my 2-week-old baby so I can carry her in it whenever she gets fussy.” c. “I’ve been reading about what new things my baby will be learning to do in the next month or two, so I’ll know what to expect.” d. “I make sure I always raise the side of the crib when I put my baby to sleep, even though newborns don’t move around as much as older infants.” ANS: B Backpacks should be used only for infants old enough to support their heads well by themselves. “I always take the phone off the hook when I give my baby a bath so I won’t be disturbed,” “I’m going to buy a backpack for my 2-week-old baby so I can carry her in it whenever she gets fussy,” and “I make sure I always raise the side of the crib when I put my baby to sleep, even though newborns don’t move around as much as older infants” are appropriate statements regarding safety for a newborn. PTS: 1 DIF: Cognitive Level: Analysis REF: 468 OBJ: Nursing Process Step: Evaluation MSC: Client Needs: Safe and Effective Care Environment 4. Which statement made by a new mother should be a cause of concern to the nurse? a. “I will start my baby on solid foods at 5 months.” b. “I usually keep the temperature in my house at 72° F.” c. “I plan to position my infant on his back when sleeping.” d. “I don’t intend to spoil my baby by picking him up every time he cries.” ANS: D Infant crying often indicates an unmet need. Parents should be cautioned about ignoring crying. Infants whose parents intervene appropriately for crying are less likely to cry excessively as they grow older. Solid foods should be started no earlier than 5 months. A house temperature of 72° F is appropriate for a newborn. The appropriate position for a baby is on his or her back. PTS: 1 DIF: Cognitive Level: Analysis REF: 467 OBJ: Nursing Process Step: Evaluation MSC: Client Needs: Safe and Effective Care Environment 5. Which is the treatment for miliaria? a. Application of oil b. Removal of wet clothing c. Removal of excess clothing d. Application of soothing lotion ANS: C Miliaria (heat rash) develops in infants who are too warmly dressed. Oils and ointments should be avoided. Wet clothing is not the cause of miliaria. Lotion should be avoided. PTS: 1 DIF: Cognitive Level: Understanding REF: 471 OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance 6. An infant who eats very rapidly may experience problems with swallowing excessive air. What should the mother be instructed to do? a. Use a nipple with a smaller hole. b. Place the infant on the left side after feeding. c. Provide the infant with water between feedings. d. Begin the feeding before the infant becomes too hungry. ANS: D Infants eat rapidly when they are very hungry. If fed before becoming excessively hungry, the infant will eat at a slower rate. Using a nipple with a smaller hole will not prevent swallowing excessive air. Infants should be placed on the right side or back, but positioning the infant on the left side after feeding will not prevent excessive swallowing. Water should not be given in between feedings.