Answer to Question 1
3
Rationale 1: Milk should never be heated in a microwave. It is possible for hot spots to develop in the milk and burn the baby's mouth.
Rationale 2: HIV testing would have been completed during the immediate newborn period.
Rationale 3: Premature infants need to be referred for developmental assessment soon after discharge from the hospital.
Rationale 4: Discharge instructions are given multiple times during the infant's stay in the hospital and would need to be repeated again and written prior to discharge.
Global Rationale:
Answer to Question 2
2
Rationale 1: An infant seat restricts movement, which would not encourage muscle tone development.
Rationale 2: Encouraging movement best assists the infant to obtain good muscle tone.
Rationale 3: Swaddling the infant, while calming for a young infant, restricts movement.
Rationale 4: The bedtime has nothing to do with development of infant muscle tone.
Global Rationale:
The nurse is using Standard Precautions to draw blood.
A nurse adjusts the rate of a client’s IV.
Purpose of the nursing interventions
Responsibilities of the nurse manager
Nursing Interventions for Different Levels of Anxiety
Nursing Interventions According to Stage of Severity for Suicide Risk