The parents of a newborn who has just died decide they want to ...

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The parents of a newborn who has just died decide they want to hold their deceased infant. The most appropriate nursing intervention at this time is to:
 
  a. explain gently that this is no longer possible.
  b. encourage parents to accept the loss of their newborn.
  c. offer to take a photograph of their newborn because they cannot hold newborn.
  d. get the newborn, wrap in a blanket, and rewarm in a radiant warmer so parents can hold their deceased infant.

Question 2

A preterm newborn has been receiving orogastric feedings of breast milk. The nurse initiates nipple feedings, but the newborn tires easily and has weak sucking and swallowing reflexes. The most appropriate nursing intervention is to:
 
  a. encourage mother to breastfeed.
  b. try nipple-feeding preterm newborn formula.
  c. resume orogastric feedings of breast milk.
  d. resume orogastric feedings of formula.

[jessicaduplan]

Answer to Question 1

ANS: D
The parents should be allowed to hold their newborn in the hospital setting. The newborn's body should be retrieved and rewarmed in a radiant warmer. The nurse should provide a private place where the parents can hold their child for a final time. A photograph is an excellent idea, but it does not replace the parents' need to hold the child.

Answer to Question 2

ANS: C
If a preterm newborn tires easily or has weak sucking when nipple feedings are initiated, the nurse should resume orogastric feedings with the milk of mother's choice. When nipple feeding is unsuccessful, it is unlikely that the newborn will be able to breastfeed. Breast milk should be continued as long as the mother desires.

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Gracias!

[mohan]

Excellent