A foster mother is caring for an infant who experienced an ...

[chads108]

A foster mother is caring for an infant who experienced an intrauterine drug exposure to cocaine. The infant often is irritated, and cries for several hours each day.
 
  Which of these interventions will assist the infant in developing self-regulatory behaviors? 1. Encouraging the infant to suck as a comfort measure by placing the infant's fingers in the mouth while crying
 
  2. Allowing the infant to cry but observing the infant to prevent injury
 
  3. Swaddling the infant
 
  4 Placing the infant about 15 inches from the TV and turning on an infant show such as Sesame Street

Question 2

An infant is born at 24 weeks' gestational age. Which of these interventions should the nurse plan when the infant is discharged home?
 
  1. Referring the infant for developmental screening
 
  2. Instructing the parents that sterilization of infant bottles and nipples is not necessary
 
  3. Giving the parents information on HIV screening that is necessary for infants born at this gestational age
 
  4. No particular instructions are necessary, since discharge teaching is completed immediately after the birth of the infant.

[yasmin]

Answer to Question 1

3
Rationale:
1. Sucking can be a comfort measure for infants, but the infant should not be given her own fingers.
2. The infant cannot be left to cry for several hours, but should be taught to trust caregivers through swaddling.
3. Infants exposed to intrauterine drugs and/or alcohol are irritable after birth. These infants respond best to swaddling in the first few months of life.
4. Infants should not be watching television from any distance.

Answer to Question 2

1
Rationale:
1. Premature infants need to be referred for developmental assessment soon after discharge from the hospital.
2. Sterilization of bottles and nipples is necessary for infants until 3 months of age.
3. HIV testing would have been completed during the immediate newborn period.
4. Discharge instructions are given multiple times during the infant's stay in the hospital, and would need to be repeated again and written prior to discharge.

[chads108]

Thank you

[yasmin]

No problemo