A mother who is bottle feeding her newborn asks to be discharged ...

[abern]

A mother who is bottle feeding her newborn asks to be discharged 24 hours post delivery,because she also has twin 2-year-old children at home. The nurse should schedule the office visit for the newborn
 
  1. within 48 hours of discharge.
  2. within one week of discharge.
  3. within two weeks of discharge.
  4. when the infant is one month old.

Question 2

A nurse is assessing an 11-monthold infant and notes that the infant's height and weight are at the fifth percentile on the growth chart
 
  Family history reveals that the two siblings are at the 50th percentile for height and at the 75th percentile for weight. Psychosocial history reveals that the parents are separated and are planning to divorce. Which of these nursing diagnoses takes priority?
  1. Alteration in Growth Pattern relatedto parental anxiety
  2. Alteration in Growth Patternsecondary to familial short stature
  3. Nutritional Intake:Excessivesecondary to maternal feeding patterns
  4. At Risk for Constitutional GrowthDelay related to decreased appetite

[briezy]

Answer to Question 1

Answer:1
Rationale:Newborns discharged before 48 hours old should be seen within 48 hours of discharge. Waiting one week and/or two weeks after discharge of a 24-hour-old infant increases the chance that several common newborn conditions can go undiagnosed:e.g.,.jaundice,failure to gain weight. Waiting one month is too long for any infant who is discharged at 24 hours old.

Answer to Question 2

Answer:1
Rationale: The scenario reveals parental anxiety due to marital problems. The most appropriate nursing diagnosis is Alteration in Growth Patterns related to parental anxiety. There is no data that indicates familial short stature.Since height and weight are at the fifth percentile,there is no indication of increased nutritional intake. This infant is not at risk for constitutional growth delay.