The nurse is preparing to collect a neonatal screening test from ...

[abern]

The nurse is preparing to collect a neonatal screening test from the neonate, and performs which of the following prior to puncturing the heel in order to increase blood flow?
 
  1. Feed the infant.
  2. Position the infant with the foot of the bed elevated.
  3. Apply a warm compress to the foot to be punctured.
  4. Elevate the foot for 5-10 minutes before puncturing.

Question 2

The nurse working on a pediatric unit bends to pick up an 8-month-old infant. The infant begins to cry, and rolls away from the nurse. The nurse interprets the infant's behavior as:
 
  1. An indication of possible abuse requiring further assessment.
  2. A common response of babies requiring frequent hospitalization.
  3. Normal behavior for an infant of this age.
  4. Failure of the infant to develop a sense of trust.

[coreycathey]

Answer to Question 1

3
Rationale: Applying a warm compress will improve blood flow to the foot and help to improve blood flow after performing the puncture. If the infant is fed prior to collecting the specimen, vomiting is almost assured, as the infant will cry vigorously. Elevating the foot of the bed or just the foot of the infant will diminish blood flow because gravity will reduce circulating blood.

Answer to Question 2

3
Rationale: An 8-month-old infant is beginning to have stranger anxiety, and turns away from strangers. This behavior is not indicative of abuse, frequent hospitalization, or lack of trust.

[abern]

Wow, this really help

[alvinum]

Thanks for the timely response, appreciate it