A nurse in the newborn unit should perform which activities ...

[genevieve1028]

A nurse in the newborn unit should perform which activities during the first 48 hours of life? Select all that apply.
 
  1. Monitor feeding behaviors.
 
  2. Perform a hearing screening.
 
  3. Perform a heel stick to obtain blood for the newborn screen.
 
  4. Monitor the mother as she performs the first newborn bath to remove blood and amniotic fluids.
 
  5. Administer a folic acid injection to the infant to prevent bleeding.

Question 2

During the visit to the pediatric office, a nurse observes the mother frequently looking at the infant and massaging the infant. From these observations, the nurse's conclusion should be:
 
  1. Positive maternalinfant attachment.
 
  2. Inadequate; more data are needed to assess the motherinfant relationship.
 
  3. That the mother might be overwhelmed by the demands of infant care.
 
  4. That the mother is trying to show the nurse that she can be affectionate to the infant.

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Answer to Question 1

1, 2, 3

Rationale:

1. The nurse should assess feeding behaviors of the infant whether the infant is breastfed or bottle-fed.
2. A hearing screening is performed on all newborn infants prior to discharge.
3. The newborn screen is performed prior to infant discharge from the newborn unit.
4. The nurse, not the mother, performs the first bath to remove blood and amniotic fluids.
5. Vitamin K, not folic acid, is administered.

Answer to Question 2

1

Rationale:

1. These behaviors are characteristic of a positive maternalinfant attachment.
2. There is enough information to determine the presence of positive maternalinfant attachment.
3. There is no information indicating the mother might be overwhelmed.
4. The mother might be trying to show the affection, but the more global answer is that the massaging and looking at the infant indicate positive maternalinfant attachment.

[genevieve1028]

TYSM

[Zebsrer]

Excellent