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

[Pea0909berry]

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

Question 2

Women who have participated in childbirth education classes often bring a birth plan with them to the hospital. This document includes the couple's preference related to (choose all that apply):
 
  a. Presence of companions.
  b. Clothing to be worn.
  c. Care and handling of the newborn.
  d. Medical interventions.
  e. Environmental modifications.

[Ksanderson1296]

Answer to Question 1

1
Rationale:
1. Newborns discharged before 48 hours old should be seen within 48 hours of discharge.
2.Waiting 1 week after the discharge of a 24-hour-old infant increases the chance that several common newborn conditions will go undiagnosed (e.g., jaundice, failure to gain weight).
3. Waiting 2 weeks after the discharge of a 24-hour-old infant increases the chance that several common newborn conditions will go undiagnosed (e.g., jaundice, failure to gain weight).
4. Waiting 1 month is too long for any infant who was discharged at 24 hours old.

Answer to Question 2

A, B, C, D, E

Feedback
Correct All of these might be included in the couple's birth plan. Other items might include the presence of non-essential medical personnel (students), labor activities such as the tub or ambulation, preferred comfort and re-laxation methods, and any cultural or religious requirements.
Incor-rect None of the above. The following website has some examples of birth plans and provides couples with an interactive birth plan to assist them in preparation for their birth (www.childbirth.org).