Author Question: A mother of a 2-month-old infant tells the nurse, My child doesn't sleep as much as his older ... (Read 112 times)

karateprodigy · **on:** Jun 27, 2018

A mother of a 2-month-old infant tells the nurse, My child doesn't sleep as much as his older brother did at the same age.. What is the best response for the nurse?

a. Have you tried to feed the baby more often?
b. Infant sleep patterns vary widely, with some infants sleeping only 2 to 3 hours at a time..
c. It is helpful to keep a record of your baby's eating, waking, sleeping, and elimination patterns and to come back in a week to discuss them..
d. This infant is difficult. It is important for you to identify what is bothering the baby..

Question 2

What should the nurse include in the teaching plan for parents of a child with diabetes insipidus who is receiving DDAVP intranasally?

a. Increase the dosage of DDAVP as the urine specific gravity (SG) increases.
b. Give DDAVP only if the urine output de-creases.
c. Child should have free access to water and toilet facilities at school.
d. Cleanse the skin before administering the transdermal patch.

chreslie · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Newborn infants may sleep as much as 17 to 20 hours per day. Sleep patterns vary widely, with some infants sleeping only 2 to 3 hours at a time. Infants typically do not need more caloric intake to improve sleep behaviors. Keeping intake, output, waking, and sleeping data is not typically helpful in discussing differences among infants' behaviors. Identifying an infant as difficult without identifying helpful actions is not a therapeutic response for a parent concerned about sleep.

Answer to Question 2

C
The child's teachers should be aware of the diagnosis and the child should have free access to water and toilet facilities at school. DDAVP needs to be given as ordered by the physician. If the parents are monitoring urine SG at home, they would not increase the medication dose for increased SG; the physician may order an increased dosage for very dilute urine with decreased SG. DDAVP needs to be given continuously as ordered by the physician. DDAVP is typically given intranasally or by subcutaneous injection. For nocturnal enuresis, it may be given orally.