Author Question: A new mother wants to be discharged with her newborn as soon as possible. Before discharge, the ... (Read 17 times)

folubunmi · **on:** Jun 28, 2018

A new mother wants to be discharged with her newborn as soon as possible. Before discharge, the nurse should make certain that:

a. newborn has voided at least once.
b. newborn does not spit up after feeding.
c. jaundice, if present, appeared before 24 hours.
d. appointment is made for home care or a primary care practitioner office visit within next 2 or 3 days.

Question 2

Nursing interventions to maintain a patent airway in a newborn should include:

a. sleeping in the prone (on abdomen) position.
b. wrapping neonate as snugly as possible.
c. positioning neonate supine while sleeping.
d. using bulb syringe to suction as needed, suctioning nose first, and then pharynx.

Anonymous · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
The American Academy of Pediatrics recommends that newborns discharged early receive follow-up care within 48 hours of a short stay in either a primary practitioner's office or the home. The child should void every 4 to 6 hours. Spitting up small amounts after feeding is a normal occurrence in newborns. It would not delay discharge. Jaundice within the first 24 hours of life must be evaluated.

Answer to Question 2

ANS: C
Supine is the position recommended by the American Academy of Pediatrics to prevent sudden infant death syndrome. Sleeping in the prone position is not advised because of the possible link between sleeping in the prone position and sudden infant death syndrome. The child can be wrapped snugly, but should be placed on side or back. A bulb syringe should be kept by the bedside if necessary, but the pharynx should be suctioned before the nose.