Author Question: The new father asks the nurse to describe what his baby will experience while sleeping and awake. ... (Read 23 times)

nramada · **on:** Jun 28, 2018

The new father asks the nurse to describe what his baby will experience while sleeping and awake. The best response is:

1. Babies have several sleep and alert states. Keep watching and you'll notice them.
2. You may have noticed that your child was in an alert awake state for an hour after his birth.
3. Newborns have two stages of sleep: deep or quiet sleep and rapid eye movement sleep.
4. Birth is hard work for babies; it takes them a week or two to recover and become more awake.

Question 2

The mother of a 2-day-old male has been informed that her child has sepsis. The mother is distraught and says, I should have known that something was wrong. Why didn't I see that he was so sick? The best reply is:

1. Newborns have immature immune function at birth, and illness is very hard to detect.
2. Your mothering skills will improve with time. You should take the newborn class.
3. Your baby didn't get enough active acquired immunity from you during the pregnancy.
4. The immunity your baby gets in utero doesn't start to function until he is 4 to 8 weeks of age.

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

Answer to Question 1

Correct Answer: 3
Rationale 1: Although it is true that babies have several sleep and alert states, the wording of this response is condescending and not therapeutic. This is not the best response.
Rationale 2: Although this statement is true, it does not respond to the father's question about sleeping now.
Rationale 3: This statement is true. Teaching the parents how to detect the two sleep stages helps them tune in to their infant's behavioral states.
Rationale 4: Recovery from the birth process only takes a day or two. During that time, feedings should take place when the baby is in an alert state.

Answer to Question 2

Correct Answer: 1
Rationale 1: The immune system of a newborn lacks response to pyrogens and presents a limited inflammatory response; thus, the signs and symptoms of infection are often subtle and nonspecific in the newborn.
Rationale 2: This response does not address the physiology of neonatal infection and is not therapeutic because it is blaming.
Rationale 3: The mother develops active acquired immunity, which is passed to the newborn transplacentally as passive acquired immunity. This immunity is to the illnesses and infections she has had or been immunized against.
Rationale 4: The passive acquired immunity a newborn receives from its mother is effective at birth and lasts from four weeks to eight months, depending on the specific antibody.