The nurse is planning care for clients seen in a newborn clinic. ...

[Anajune7]

The nurse is planning care for clients seen in a newborn clinic. Which is the priority for a newborn client during the first clinic visit?
 
  1. Providing pamphlets to reinforce information provided at the visit
  2. Assessing the newborn-and-family interactions
  3. Modeling infant-nurturing behaviors
  4. Informing the parents of the infant's gains in height and weight

Question 2

A nursery nurse is planning care for the newborns currently in the newborn nursery. Which activities does the nurse plan for the first 48 hours of life?
 
  1. Monitor feeding behaviors.
  2. Perform a hearing screening.
  3. Perform a heel stick to obtain blood for the newborn screen.
  4. Monitor the mother as she performs the first newborn bath to remove blood and amniotic fluids.
  5. Administer folic-acid injection to the infant to prevent bleeding.

[morrie123456]

Answer to Question 1

Correct Answer: 2
Rationale: The first step in the nursing process is assessment; therefore, the nurse should assess the interactions of the parents with the newborn. Providing pamphlets to help educate the parents should be done at each appropriate office visit; however, the pamphlets would be distributed after assessment of parent needs. While the nurse should be a role model for nurturing behaviors during the office visit, this would not be the first thing the nurse performs at the office visit. While parents are informed of the infant's gains in height and weight, this activity does not take priority.

Answer to Question 2

Correct Answer: 1,2,3
Rationale: The nurse should assess feeding behaviors of the infant whether the infant is breast-fed or bottle-fed. A hearing screening is performed on all newborn infants prior to discharge. The newborn screen is performed prior to infant discharge from the newborn unit. The nurse, not the mother, performs the first bath to remove blood and amniotic fluids. Vitamin K is administered, not folic acid.