Which nonpharmacologic intervention appears to be effective in ...

[tsand2]

Which nonpharmacologic intervention appears to be effective in decreasing neonatal procedural pain?
 
  a. Tactile stimulation
  b. Commercial warm packs
  c. Doing procedure during infant sleep
  d. Oral sucrose and nonnutritive sucking

Question 2

Which of the following is the priority intervention for a supine client whose monitor strip shows decelerations that begin after the peak of the contraction and return to the baseline after the contraction ends?
 
  a. Increase IV infusion.
  b. Elevate lower extremities.
  c. Reposition to left side-lying position.
  d. Administer oxygen per face mask at 4 to 6 L/min.

[zacnyjessica]

Answer to Question 1

ANS: D
Nonnutritive sucking attenuates behavioral, physiologic, and hormonal responses to pain. The addition of sucrose has been demonstrated to have calming and pain-relieving effects for neonates. Tactile stimulation has a variable effect on response to procedural pain. No evidence supports commercial warm packs as a pain control measure. With resulting increased blood flow to the area, pain may be greater. The infant should not be disturbed during the sleep cycle. It makes it more difficult for the infant to begin organization of sleep and awake cycles.

Answer to Question 2

ANS: C
Decelerations that begin at the peak of the contractions and recover after the contractions end are caused by uteroplacental insufficiency. When the client is in the supine position, the weight of the uterus partially occludes the vena cava and descending aorta, resulting in hypotension and decreased placental perfusion. Increasing the IV infusion, elevating the lower extremities, and administering O2 will not be effective as long as the client is in a supine position.

[tsand2]

TYSM

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Excellent