Author Question: The hospital recently changed its policy and now allows families members to be present during ... (Read 30 times)

Shelles · **on:** Jun 28, 2018

The hospital recently changed its policy and now allows families members to be present during resuscitation of their child. The benefits expected from this policy change include: Standard Text: Select all that apply.

1. Positive patient outcomes increase due to the patient hearing family voices during the resuscitation.
2. Parents are reassured that everything possible is being done.
3. Professional behavior by the healthcare team improves.
4. Parental feelings of helplessness decrease.
5. Grieving and closure are facilitated.

Question 2

While assessing newborns, the nurse should differentiate normal findings from findings which require further evaluation and intervention. Which would be normal newborn findings? Standard Text: Select all that apply.

1. Swelling over the occiput that crosses suture lines
2. Tiny white papules located primarily on the nose and chin
3. Tiny red macules and pustules that come and go, primarily on the trunk and extremities
4. When the Moro reflex is elicited, the right arm extends and returns to the body. The left arm remains resting against the chest.
5. Greenish discoloration of skin over the entire body that is not removed by the initial bath

Ptupou85 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

2,3,4,5
Rationale 1: No studies have shown that the patient outcome is improved.
Rationale 2: This statement is accurate.
Rationale 3: When the healthcare team is aware that the family is present, their behavior is more professional and appropriate.
Rationale 4: Parents feel that they are involved and not just waiting.
Rationale 5: It increases the sense of reality to be present during unsuccessful resuscitation events.
Global Rationale:

Answer to Question 2

1,2,3
Rationale 1: By crossing suture lines, this finding indicates it is caput succedaneum, a normal finding after vaginal delivery. No further evaluation or treatment is needed.
Rationale 2: This is a description of milia, a normal finding. No further care is required.
Rationale 3: This is a description of erythema toxicum, a normal newborn finding that requires no further treatment.
Rationale 4: This Moro reflex is incomplete. Further evaluation is necessary to determine if there has been injury to the right arm and/or shoulder.
Rationale 5: This is a description of a meconium-stained newborn. The passage of meconium has occurred at a more distant time, leading to the staining. The child will need to be evaluated for meconium aspiration.
Global Rationale: