Author Question: An adolescent client who gave birth to a preterm infant who is in the neonatal intensive care unit ... (Read 74 times)

lak · **on:** Jul 22, 2018

An adolescent client who gave birth to a preterm infant who is in the neonatal intensive care unit tells the nurse, My baby doesn't seem real because it's in the hospital and I'm at home..

Which of the following can the nurse do to promote parent-infant attachment? 1. Explain that once the baby is discharged to home, she will have evidence that it is real.
2. Provide a picture of the infant including a footprint and current weight and length.
3. Limit visits to the intensive care unit so as not to disrupt care the baby needs.
4. Have the mother visit when the baby is asleep or resting.

Question 2

The nurse is caring for a child who is terminally ill. The nurse plans care to achieve which of the following outcomes? (Select all that apply.)

1. The child will eat all meals.
2. The child is pain free.
3. The airway is free of secretions.
4. The child will not experience grief.
5. The child will engage in age appropriate play.

ryrychapman11 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Provide a picture of the infant including a footprint and current weight and length.

Rationale:
Nurses need to take measure to promote positive parental feelings toward the preterm infant. One way to do this would be to provide the mother with a picture of the infant including a footprint and current weight and length. This promotes bonding. The mother needs to begin bonding with the infant now, not waiting until the baby is discharged to home. Visits to the intensive care unit should be encouraged and supported. The mother should try to visit with the infant when the baby is awake to encourage interaction.

Answer to Question 2

2. The child is pain free.
3. The airway is free of secretions.
5. The child will engage in age appropriate play.

Rationale:
Priority outcomes for the child who is dying are pain control and airway patency. The nurse would want to encourage the child in age appropriate play depending on the condition of the child. It is not reasonable to expect the dying child to eat all meals, nor is it appropriate that the child not grieve.