A neonate was born to a 28-year-old mother with an uneventful ...

[codyclark]

A neonate was born to a 28-year-old mother with an uneventful pregnancy two hours ago. The baby was delivered via cesarean section and taken directly to the neonatal intensive care unit because of an encephalocele.
 
  The mother is coming to see the baby. The nurse should: 1. Be prepared to answer questions about the baby's care and condition.
   2. Leave the room and give the family time with the neonate.
   3. Prepare the mother prior to entering the room about the dysmorphic features and discuss the supportive care being provided.
   4. Not let the mother see the child at this point.

Question 2

When children experience pain it is:
 
  a. character building
  b. likely to interrupt sleep, appetite, and play
  c. only because they are not focusing on something else
  d. going to be of lesser duration and intensity than adults experience

[duy1981999]

Answer to Question 1

3
Feedback
1. The nurse should be ready to answer questions and needs to prepare the mother for the appearance of her neonate.
2. Time with the neonate is important, but support is the priority for parents at this time.
3. Prior information before seeing the child can help reduce the shock and foster more acceptance of the neonate.
4. The mother needs to see the neonate to help create a bond.

Answer to Question 2

B

Feedback
A Incorrect: When children experience pain, it is not character building. This is a common pain misconception.
B Correct: When children experience pain, it is likely to interrupt sleep, appetite, and play. However, many children play despite pain, because this is normal and helps distract them from their pain. Therefore, the child should be regularly assessed for pain and treated according to her or his pain rating.
C Incorrect: It has not been demonstrated that children experience pain only because they are not focusing on something else.
D Incorrect: Children as young as 26 weeks of age have intact afferent pathways for pain transmission and respond to tissue injury with the same chemical, behavioral, and physiologic signs as an adult.

[codyclark]

Gracias!

[bblaney]

Excellent