A new mother wants to be discharged with her infant as soon as ...

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A new mother wants to be discharged with her infant as soon as possible. Before discharge, what should the nurse be certain of?
 
  a. The infant has voided at least once.
  b. The infant does not spit up after feeding.
  c. Jaundice, if present, appeared before 24 hours.
  d. A follow-up appointment with the practitioner is made within 48 hours.

Question 2

What should a nursing intervention to promote parentinfant attachment include?
 
  a. Encouraging parents to hold the infant frequently unless the infant is fussy
  b. Explaining individual differences among infants to the parents
  c. Delaying parentinfant interactions until the second period of reactivity
  d. Alleviating stress for parents by decreasing their participation in the infant's care

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Answer to Question 1

ANS: D
The American Academy of Pediatrics recommends that newborns discharged early receive follow-up care within 48 hours 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 normal in newborns; it should not delay discharge. Jaundice within the first 24 hours of life must be evaluated.

Answer to Question 2

ANS: B
Nurses can positively influence the attachment of parent and infant by recognizing and explaining individual differences to the parents. The nurse should emphasize the normalcy of these variations and demonstrate the uniqueness of each infant. The parents should be encouraged to hold the infant when he or she is fussy and learn how best to soothe their infant. The nurse should facilitate parentinfant interaction during the first period of reactivity. Decreasing the parents' participation in care interferes with parentinfant attachment.

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