Author Question: A 2-week-old child responds to a bell during an initial health supervision examination. The child's ... (Read 80 times)

pepyto · **on:** Jun 27, 2018

A 2-week-old child responds to a bell during an initial health supervision examination. The child's records do not show that a newborn hearing screening was done. Which of the following is the best action for the nurse to take?

A) Do nothing because responding to the bell proves he does not have a hearing deficit.
B) Immediately schedule the infant for a newborn hearing screening.
C) Ask the mother to observe for signs that the infant is not hearing well.
D) Screen again with the bell at the 2-month-old health supervision visit.

Question 2

A school-aged child with Crohn's disease will receive enteral nutrition for the next 6 weeks. What should the nurse counsel the parents to do to support this child's needs?

A) Provide the feeding during regular meal times.
B) Encourage the child to stay with the family during routine meal times.
C) Suggest the child stay in the bedroom during routine meal times with the family.
D) Explain that this might be a permanent method to have nutrition going forward.

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

Answer to Question 1

B
Feedback:
Guidelines for infant hearing screening recommend universal screening with an auditory brain stem response (ABR) or evoked otoacoustic emissions (EOAE) test by 1 month of age. All the other answers rely on behavioral observation. Studies have shown that behavioral observations are not a reliable method of screening for hearing loss.

Answer to Question 2

B
Feedback:
When nutrition is supplied by enteral solutions, the enteral infusion should be provided during the night. Removing the tube during the day can make feedings more tolerable. Meal time provides social stimulation so the parents should encourage the child to spend time with the family during routine meal times. The feedings should not be provided during regular meal times. Having the child stay in the bedroom during meal times with the family will not support the child's socialization needs. There is no way of knowing if enteral feedings will be a permanent method for this child to obtain nutrition going forward.