The mother asks the nurse why her newborn baby needs a blood test ...

[Pineapplelove6]

The mother asks the nurse why her newborn baby needs a blood test for phenylketonuria (PKU) before she could take her home. The nurse explains to the mother:
 
  1. It is because you have a family history of this disease.
   2. This test is done on in the U.S. on all babies who are 48 hours old.
   3. Your baby was overdue (42 weeks' gestation), and so has a greater chance of developing PKU.
   4. This is done because you have chosen to feed your baby formula, so she is not protected against PKU.

Question 2

The nurse is teaching the caregiver of a newly diagnosed type I diabetic ways to minimize pain with insulin injections. The nurse teaches the caregiver that which of the following interventions is helpful to minimize pain? Select all that apply.
 
  1. Do not reuse needles.
   2. Inject insulin when it is cold.
   3. Have the child flex the muscle during injection.
   4. Remove all bubbles from the syringe before injecting.
   5. Do not change the direction of the needle during insertion or withdrawal.

[brbarasa]

Answer to Question 1

2
Rationale:
1. PKU testing is not done because of family history.
2. Neonatal screening for PKU is mandated by state law in all 50 states.
3. PKU does not occur from a longer-than-40-weeks gestation.
4. PKU does not occur because the newborn is formula-fed.

Answer to Question 2

1, 4, 5
Rationale:
1. Reusing needles leads to more pain on injection.
2. Insulin should be injected when it is at room temperature, to minimize pain.
3. Flexing or tensing muscles during injection causes more discomfort.
4. Removing bubbles from the syringe minimizes pain.
5. Keeping the direction of the syringe constant will minimize pain.