NCLEX Style Study Question
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:
- “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.”
- “His skin will have less chance of friction or pressure points from a sheet over the crib mattress than a sheepskin over the mattress.”
- “When he stops sucking the nipple and falls asleep, he is telling me he has had enough to eat and is full.”
- “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
February 28th, 2006 at 9:29 am
3. I think is the best answer.
February 28th, 2006 at 3:32 pm
I say 3.
February 28th, 2006 at 11:06 pm
Number 2 ? Not being a Mom, I don’t know. Do lightweight babies really have a problem with pressure point friction problems? Don’t they often have to be reawakened to finish feeding? Doesn’t active stroking, music and talking interfere with feeding? Can babies who have hypoxia, adapt to the condition, and NOT have symptoms( retracting, grunting and normal resp rate)? This question was a tough one for me.
February 28th, 2006 at 11:39 pm
I misread the question. I responded, erronously thinking that that the mother NEEDED more education about her premature baby when she states: etc
I’m learning to patiently read the QUESTION TWICE. consider what my answer WOULD be, then read the potential correct answer.
She demonstrates knowledge when she says,
NUMBER ONE
This NCLEX is going to kill me. ugh!
March 1st, 2006 at 4:48 pm
I’m going to say 3 because I don’t like any of the others.
March 1st, 2006 at 6:49 pm
I’ll say 1. I had a preemie and friction is not really a problem, though a sheepskin is a problem. Falling asleep while feeding means they are tired, not necessarily full. They may wake up starving within minutes and we all know it’s never okay to play while we eat…ha, ha. It will interupt the feedings.
March 1st, 2006 at 11:54 pm
I say # 1..
March 3rd, 2006 at 1:51 pm
I would say 3…It’is easy to block baby’s airway and stop him breathing when breat-feeding, which young mother may think he is falling sleep!
March 3rd, 2006 at 2:17 pm
4
March 4th, 2006 at 1:37 pm
4. maybe the point for a premie is to keep them awake, so they can finish a feeding. Otherwise i wouldn’t say this would be the answer but this relating to the premie’s growth and development i believe and it says nothing about the premie being in respiratory distress either.
March 5th, 2006 at 9:06 am
I am choosing one because it deals with airway.
March 7th, 2006 at 4:22 am
I’d go for 4.
March 12th, 2006 at 12:18 pm
Correct answer: 1
Oximeter readings would be necessary if the infant experienced an increase in respiratory rate, dyspnea, retractions, fatigue, mental changes, or color changes. Signs of infection should also be reported promptly.