A preterm infant in the NICU has two older siblings. The parents ...

[rmenurse]

A preterm infant in the NICU has two older siblings. The parents are concerned that the siblings have not accepted the new baby. In order to facilitate acceptance, the nurse can:
 
  a. Encourage the siblings to send drawings to the infant
  b. Avoid allowing the siblings to see the baby while the baby is so ill
  c. Encourage the parents to not address the baby by name in case the baby dies
  d. Tell the siblings that that the baby will be fine

Question 2

In Hirschsprung's disease the normal portion of the bowel:
 
  a. becomes atrophied and shrinks c. becomes hypertrophied and dilated
  b. loses function d. functions normally

[nikmaaacs]

Answer to Question 1

A
Encouraging the siblings to send drawings will help the children accept the infant. Not allowing the children to see their sibling will not help acceptance. The baby should be addressed by his or her name. The siblings should not be told the baby will be fine, in case the baby is not This will cause problems with trust.

Answer to Question 2

C

Feedback
A Incorrect. In Hirschsprung's disease the normal portion of the bowel does not become atrophied and shrink.
B Incorrect. In Hirschsprung's disease the normal portion of the bowel does not lose function.
C Correct. In Hirschsprung's disease the normal portion of the bowel becomes hypertrophied and dilated. The affected bowel (absence of ganglion cells) is unable to transmit coordinated peristaltic waves and to pass fecal contents along its length, resulting in an accumulation of fecal material and distention proximal to the defect.
D Incorrect. In Hirschsprung's disease the normal portion of the bowel does not function normally.