Author Question: For several days, the nurse has been working with the parents of a baby with a cleft lip and cleft ... (Read 23 times)

newbem · **on:** Jun 27, 2018

For several days, the nurse has been working with the parents of a baby with a cleft lip and cleft palate. The parents seem to have a lot of fears related to the care of their child and the child's future.

How could the nurse best help these parents? a. Talk to them about how their fears are unnecessary, and encourage them to stop being afraid.
b. Tell the parents about any personal family experiences with cleft lip or cleft palate or about experiences with other parents having a baby with similar problems.
c. Show some before and after photographs of successful surgical repairs, and offer to arrange for them to talk with other parents of children with a cleft lip or cleft palate.
d. Take over more of the care of the infant to give the parents time to adjust to having a baby with deformities.

Question 2

Many schools have established protocols on specific instances when children should be sent home. Which of the following symptoms would likely be included in this protocol? Select all that apply.

a. a temperature of 38.1 degrees C (100.6 degrees F)
b. a red, nonraised rash on the chest and legs
c. an occasional dry cough
d. history of asthma

CourtneyCNorton · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C

Feedback
A Incorrect. Talking to them about how their fears are unnecessary, and encourage them to stop being afraid denies their fears and is not a helpful response. The nurse should encourage parents to verbalize their feelings and fears because talking and sharing may decrease anxiety.
B Incorrect. Telling the parents about any personal family experiences with cleft lip or cleft palate or about experiences with other parents having a baby with similar problems is not a helpful intervention.
C Correct. The nurse could best help these parents by showing some before and after photographs of successful surgical repairs, and offering to arrange for them to talk with other parents of children with a cleft lip or cleft palate. This may allay their fears. Sharing with others in a similar situation facilitates acceptance and adaptation.
D Incorrect. Taking over more of the care of the infant to give the parents time to adjust to having a baby with deformities does not help them begin to adjust and bond to their infant. Parents need to be involved in the care of their baby, even if it only involves holding, touching, stroking and nurturing behaviors.

Answer to Question 2

A, B

Feedback
Correct A temperature over 37.8 degrees C (100 degrees F) would likely meet the criteria for being sent home from school.
A red rash would likely meet the criteria for being sent home from school.
Incorrect An occasional dry cough without other presenting symptoms would not likely meet the criteria.
A history of asthma alone would not be a reason to send a child home from school.