Author Question: The new mother tells the nurse that sometimes her infant seems to become frantic when crying and ... (Read 32 times)

ereecah · **on:** Jun 28, 2018

The new mother tells the nurse that sometimes her infant seems to become frantic when crying and asks what she can do when this happens. Which actions would the nurse recommend? Standard Text: Select all that apply.

1. Offer breast or bottle if it has been two hours or longer since the last feeding.
2. If the infant is not hungry or wet, allow the infant to cry it out.
3. Swaddle the infant in a blanket and rock the infant.
4. Try patting the infant on the back to help the baby expel gas.
5. Take the infant to a different room or outside to distract the infant.

Question 2

Which of the following are signs of early hypovolemic shock in children? Select all that apply.

1. Bradycardia
2. Increased work of breathing
3. Prolonged capillary refill time
4. Decreased blood pressure
5. Tachycardia

connor417 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1,3,4
Rationale 1: The infant may be hungry. This is appropriate.
Rationale 2: The infant needs help to regain control. The mother should comfort her infant.
Rationale 3: Swaddling is comforting to the infant. This is appropriate.
Rationale 4: This is an appropriate response.
Rationale 5: Babies in distress will not sooth by changing environments.
Global Rationale:

Answer to Question 2

2, 3, 5
Rationale:
1. Bradycardia is a late and ominous sign of shock indicating that the child is no longer able to compensate.
2. Increased work of breathing is an early sign of shock, indicating compensation for decreased cardiac output and volume.
3. Decreased capillary refill time would be an early indicator of decreased fluid volume and compensation.
4. Decreased blood pressure is a later finding, and would not occur until other compensatory mechanisms were exhausted.
5. Tachycardia is an early compensatory mechanism for hypovolemia in a child.