Author Question: At delivery, it was discovered that the newborn had a bilateral cleft lip. The parents are ... (Read 74 times)

mia

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At delivery, it was discovered that the newborn had a bilateral cleft lip. The parents are distressed about the appearance of their infant.
 
  Nursing behaviors that can help the parents bond to the infant include: Standard Text: Select all that apply. 1. Calling the infant by name when referring to the infant.
  2. Keeping the infant's lower face covered with the blanket.
  3. Smiling at the infant and talking to the infant in the parents' presence.
  4. Showing the parents before and after pictures of other children with cleft lips.
  5. Discussing positive features of their baby.

Question 2

A six-month-old infant has been hospitalized several times with diarrhea. The nurse evaluates home care to determine the cause of the repeated illnesses. Which is the most likely cause of the repeated gastroenteritis?
 
  1. The infant is allowed to drink from her parents' drinks at meal time.
  2. If the infant doesn't finish her bottle, the mother returns it to the refrigerator to be used later in the day.
  3. There are three school-age children in the family.
  4. The infant often wears only a diaper around the house.



ErinKing

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Answer to Question 1

1,3,4,5
Rationale 1: This behavior humanizes the child to the parents and is appropriate.
Rationale 2: This indicates that the infant's appearance is distressing. Although the nurse would want to shield the child from a visitor's stare, the nurse would not want to hide the child from her own family.
Rationale 3: This indicates acceptance of the infant by the nurse.
Rationale 4: It is usually not appropriate to show before and after pictures as you cannot predict the success of the surgery on this child. But in the case of cleft lip, the improvement will be significant and it is considered acceptable to show before and after pictures.
Rationale 5: Statements like Your baby is the sweetest thingshe never cries, can help the parents recognize positive features about their baby.
Global

Answer to Question 2

2
Rationale 1: The parents are showing no symptoms of gastroenteritis, so this is probably not the cause of the infant's problems.
Rationale 2: This practice would allow bacteria to grow in the milk and should be discontinued. Unfinished formula should be discarded.
Rationale 3: There is no evidence the other children have had any illnesses.
Rationale 4: An infant who only wears a diaper is not more susceptible to diarrhea than other infants.
Global Rationale:



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