Author Question: The nurse instructs a mother on actions to prevent sibling rivalry between a preschool-age child and ... (Read 108 times)

future617RT · **on:** Jun 27, 2018

The nurse instructs a mother on actions to prevent sibling rivalry between a preschool-age child and a newborn. Which observation indicates that instruction has been effective?

A) Mother sleeps while the newborn is sleeping.
B) Mother asks if the preschool-age child likes the new baby.
C) Mother sets aside afternoon time for the preschool-age child while the baby naps.
D) Mother suggests family not bring gifts to the preschool-age child until behavior changes.

Question 2

The nurse is assessing a preterm newborn who is in the neonatal intensive care unit (NICU) for signs and symptoms of overstimulation. Which of the following would the nurse be least likely to assess?

A) Increased respirations
B) Flaying hands
C) Periods of apnea
D) Decreased heart rate

dmurph1496 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback:
To help reduce sibling rivalry, the mother should set aside afternoon time for the preschool-age child while the baby naps. Sleeping when the baby sleep, asking if the preschool-age child likes the baby, and limiting gifts to the preschool-age child until behavior changes will promote sibling rivalry.

Answer to Question 2

A
Feedback:
Conversely, overstimulation may have negative effects by reducing oxygenation and causing stress. A newborn reacts to stress by flaying the hands or bringing an arm up to cover the face. When overstimulated, such as by noise, lights, excessive handling, alarms, and procedures, and stressed, heart and respiratory rates decrease and periods of apnea or bradycardia may occur.