Author Question: The nurse is calling a new mother to schedule a routine home visit planned for 48 to 72 hours after ... (Read 60 times)

B · **on:** Jun 28, 2018

The nurse is calling a new mother to schedule a routine home visit planned for 48 to 72 hours after discharge. What is the nurse's priority question to help determine the best time for the visit?

a. When will the baby's father be home?
b. Do you plan on having any visitors in the day or two?
c. At approximately what time do you think you will be nursing your baby?
d. When will your home be presentable enough for me to come and visit?

Question 2

A new mother is preparing for discharge from the birthing center and relays to the nurse her concerns about how she will handle her baby's episodes of crying. What is the nurse's best response?

a. I hear your concern. Is there someone in the household who cannot tolerate hearing a baby cry?
b. It is okay to just let the baby cry from time to time. You don't want to risk spoiling the baby too soon.
c. Infants only cry when they are hungry or if they have gas. If you don't eat any gas-producing food, your baby will cry less.
d. Crying is the way your baby communicates with you. It is important for you to meet your baby's needs consistently and promptly.

cici · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
A feeding session should be observed, especially if the mother is breastfeeding. Establishment of milk supply, adequacy of the breast milk, and general support are important topics to discuss for the mother who is breastfeeding for the first time. During the home visit, the nurse performs a physical examination of the mother and infant. Family adaptation to the addition of a new member and the adequacy of the mother's support system is also assessed. Cleanliness of the home environment is only a concern when the baby's health is at risk.

Answer to Question 2

ANS: D
Infants cannot signal that they have unmet needs in any other way but crying and are not spoiled when parents meet their needs. In fact, their needs must be met in a consistent, warm, prompt manner for the development of trust to occur. Infants who are consistently held when in distress cry less at 1 year and are less aggressive at 2 years of age. Therefore, parents should be taught the importance of consistently and quickly answering infant cries. The response to the assessment of intolerance of crying is a leading question and nontherapeutic communication. Infants cry for many reasons, including hunger, discomfort, fatigue, overstimulation, and boredom. Parents can often identify the problem based on the type of sound made during crying. Sometimes no specific cause can be determined. There is no mention in the stem of the question that the new mother is breastfeeding.