Correct answer now posted by Tanya


The mother of a premature infant demonstrates knowledge of her son’s growth and development when she tells the nurse:

  1. “If his respirations are the normal rate and he isn’t retracting or grunting. I won’t need to bring him in for an oximeter reading.”
  2. “His skin will have less chance of friction or pressure points from a sheet over the crib mattress than a sheepskin over the mattress.”
  3. “When he stops sucking the nipple and falls asleep, he is telling me he has had enough to eat and is full.”
  4. “The best time to provide exciting music, talking and stroking is during feedings when he is already awake.”

Source: Question & Rationale provided by Drexel University’s NCLEX EXCEL