The NICU nurse is providing care to a 35-week-old infant who has ...

[clmills979]

The NICU nurse is providing care to a 35-week-old infant who has been in the neonatal intensive care unit for the past 3 weeks.
 
  His mother wants to breastfeed her son naturally but is currently pumping her breasts to obtain milk. His mother is concerned that she is only producing about 1 ounce of milk every 3 hours. The nurse's best response to the patient's mother would be:
  a. Pumping is hard work and you are doing very well. It is good to get about 1 ounce of milk every 3 hours.
  b. Natural breastfeeding will be a challenging goal for your baby. Beginning today, you will need to begin to pump your breasts more often.
  c. Your baby will not be ready to go home for at least another week. You can begin to pump more often in the next few days in preparation for taking your child home.
  d. You have been working hard to give your son your breast milk. We can map out a schedule to help you begin today to pump more often to prepare to take your baby home.

Question 2

The NICU nurse recognizes that respiratory distress syndrome results from a developmental lack of:
 
  a. Lecithin
  b. Calcium
  c. Surfactant
  d. Magnesium

[joshraies]

Answer to Question 1

ANS: d
Feedback
a. This is correct information but does not assist the women in producing more milk.
b. This does not provide her with a plan to increase her milk.
c. This does not provide her with a plan.
d. The mother should be praised for her efforts to breastfeed and encouraged to continue to pump her milk. A determined schedule for pumping the milk will help the mother keep her milk flow steady and provide enough nutrients for the infant after discharge.

Answer to Question 2

ANS: c
Feedback
a. The ratio of lecithin to sphingomyelin in the amniotic fluid is used to assess maturity of fetal lungs.
b. Calcium is needed to prevent undermineralization of bones.
c. Respiratory distress syndrome (RDS) is a developmental respiratory disorder that affects preterm newborns due to lack of lung surfactant. The pathology of RDS is that there is diffuse atelectasis with congestion and edema in the lung spaces. On deflation, the alveoli collapse, and there is decreased lung compliance.
d. Magnesium is needed to prevent undermineralization of bones.

[clmills979]

TYSM

[Jsherida]

Excellent