An infant is born at 24 weeks' gestational age. Which of these ...

[2125004343]

An infant is born at 24 weeks' gestational age. Which of these interventions should the nurse plan when the infant is discharged home?
 
  1. Instructing the parents that infants need warmed milk and to heat the milk in a microwave for no more than 15 seconds
  2. Giving the parents information on HIV screening that is necessary for infants born at this gestational age
  3. Referring the infant for developmental screening
  4. No particular instructions are necessary because discharge teaching is completed immediately after the birth of the infant.

Question 2

The nurse is working with first-time parents. Which of these activities will the nurse suggest to encourage the development of good muscle tone?
 
  1. Placing the infant in an infant seat rather than lying down in a crib
  2. Surrounding the infant with toys and other stimulating items to encourage motor movement
  3. Swaddling the infant
  4. Putting the infant to bed each night at 8 p.m., even if the infant protests with crying

[zenzy]

Answer to Question 1

3
Rationale 1: Milk should never be heated in a microwave. It is possible for hot spots to develop in the milk and burn the baby's mouth.
Rationale 2: HIV testing would have been completed during the immediate newborn period.
Rationale 3: Premature infants need to be referred for developmental assessment soon after discharge from the hospital.
Rationale 4: Discharge instructions are given multiple times during the infant's stay in the hospital and would need to be repeated again and written prior to discharge.
Global Rationale:

Answer to Question 2

2
Rationale 1: An infant seat restricts movement, which would not encourage muscle tone development.
Rationale 2: Encouraging movement best assists the infant to obtain good muscle tone.
Rationale 3: Swaddling the infant, while calming for a young infant, restricts movement.
Rationale 4: The bedtime has nothing to do with development of infant muscle tone.
Global Rationale:

[2125004343]

Thank you

[zenzy]

Happy to help you