Answer to Question 1
2
Rationale:
1. Waiting until day five, eight, or nine after discharge from the hospital is incorrect, since the early signs of hyperbilirubinemia could be missed if the nurse waits this length of time to evaluate the infant.
2. The infant is at risk for hyperbilirubinemia. The mother might not have recognized the signs of hyperbilirubinemia in the early stage; therefore, the nurse should make the first home visit at day three of life.
3. Waiting until day five, eight, or nine after discharge from the hospital is incorrect, since the early signs of hyperbilirubinemia could be missed if the nurse waits this length of time to evaluate the infant.
4. Waiting until day five, eight, or nine after discharge from the hospital is incorrect, since the early signs of hyperbilirubinemia could be missed if the nurse waits this length of time to evaluate the infant.
Answer to Question 2
1,2,4,5
Rationale 1: The head circumference of a newborn should be larger than the chest circumference. Chest circumference greater than head circumference is associated with microcephaly and other problems.
Rationale 2: Weight and length should be plotted on a growth chart along with gestational age to determine if intrauterine growth was within the normal range.
Rationale 3: Body fat determination is not a measure that is used during the newborn assessment.
Rationale 4: The newborn reflexes can be an indicator of a number of problems, including injuries to the extremities or the brain.
Rationale 5: Gestational age of the infant can predict health issues that can develop.
Global Rationale:
