While working at a weekend free clinic, the nurse is assessing a ...

[sc00by25]

While working at a weekend free clinic, the nurse is assessing a 3-year-old when the mother of the child confides that it has been very difficult providing for her family of four children on her limited budget, and that she is not sure that
 
  she has enough money to buy food for the rest of the month, let alone the antibiotic that is needed for the child's ear infection. Which is the intervention by the nurse that would be most beneficial for the child and this family? 1. Giving the mother enough free samples of the antibiotic for the recommended course of treatment
  2. Putting the mother in contact with a local agency that provides food on a regular basis to needy families and helps them access other resources in the community
  3. Talking with the mother about the factors that increase a child's risk of acquiring an ear infection
  4. Talking with the mother about the importance of a balanced diet in the growth and development of children, and providing her with a list of inexpensive, nutritious foods

Question 2

A mother is concerned that her newborn doesn't appear to be alert enough to feed and is very irritable. Which of the following data documented in the mother's birth record might contribute to this newborn's behavior?
 
  1. Length of labor was 8 hours.
  2. Epidural during labor
  3. Blood pressure of 114/82
  4. Short second stage of labor

[AngeliqueG]

Answer to Question 1

2
Rationale:
1. Giving the mother enough free samples of the antibiotic would treat the immediate problem of the ear infection, but not the more far-reaching effects of malnutrition.
2. While all of the responses are good interventions, putting the mother in contact with a local agency will meet the family's basic need for food and connect the parent to a resource that could supply her with the antibiotic for her child.
3. A family's basic needs must be met before health promotion can be effective, and so talking with the mother about the factors that increase a child's risk of acquiring an ear infection would not be the most beneficial intervention for this family at this time.
4. A family's basic needs must be met before health promotion can be effective, and so talking with the mother about the importance of a balanced diet would not be the most beneficial intervention for this family at this time.

Answer to Question 2

2
Rationale:
1. A normal length of labor is not a factor related to early feeding patterns.
2. Some newborns whose mothers received epidurals in labor might experience a delay in normal feeding patterns. These newborns have been noted to be irritable and to have decreased visual skills and alertness.
3. Normal vital signs during labor are not factors related to early feeding patterns.
4. Normal vital signs during labor are not factors related to early feeding patterns.