After a routine vaginal delivery, the infant transitions with the ...

[jjjetplane]

After a routine vaginal delivery, the infant transitions with the mother in the recovery room without difficulty.
 
  Prior to being discharged from the recovery room, it is noted that the infant's respiratory rate is 102 and the lungs are clear to auscultation. Based on these findings, an appropriate transfer for this infant would be to: 1. The newborn nursery for the first bath.
  2. The NICU and placed under an over-bed warmer for observation.
  3. To the mother's room to promote bonding with the parents.
  4. The newborn nursery for its first feeding.

Question 2

Which role would the school nurse least likely pursue?
 
  1. Assisting children with chronic conditions to have health care needs met
  2. Performing essential skilled nursing tasks for children with special medical needs
  3. Supervising unlicensed assistive personnel in the health office
  4. Providing referrals to students because of tardiness to school

[durant1234]

Answer to Question 1

2
Rationale 1: The infant is tachypneic. Bathing will only add to the respiratory distress and should be avoided.
Rationale 2: This infant needs to remain under constant observation due to the respiratory rate.
Rationale 3: The infant needs to be monitored.
Rationale 4: With a respiratory rate this high, aspiration is likely so feeding should be avoided.
Global

Answer to Question 2

4
Rationale:
1. Previously homebound children who are medically fragile and need skilled nursing care with or without medical equipment to support vital functions now attend school. Outcomes of school nursing care include students with chronic conditions have their health care needs met.
2. Previously home bound children who are medically fragile and need skilled nursing care with or without medical equipment to support vital functions now attend school. Outcomes of school nursing care include students with chronic conditions have their health care needs met.
3. The school nurse also is responsible for the supervision of unlicensed assistive personnel in the health office.
4. It is outside the nurse's responsibility to involve herself in the students' getting to school on time.