Author Question: A new mother has brought in her week-old infant to the health care provider for a 1-week well-baby ... (Read 137 times)

newyorker26 · **on:** Jul 22, 2018

A new mother has brought in her week-old infant to the health care provider for a 1-week well-baby checkup. She is breastfeeding and has only been sleeping a couple of hours at a time during the night between feedings.

She asks the nurse, When can I expect the baby to sleep through the night? What is the nurse's best response? a. Are you feeling tired, maybe you are experiencing depression.
b. Most children begin to sleep through the night around 3 months.
c. Most children begin to sleep through the night around 6 months.
d. Are you feeling tired? Maybe you are anemic?

Question 2

A 75-year-old patient who is being discharged home after a stroke has no use of the right hand. Which teaching strategy is best for the nurse to use for this patient?

a. Provide all the teaching at once, immediately before going home so the patient will remember it.
b. Teach the patient with the aid of a computer to demonstrate that the discharge instructions are on the hospital webpage.
c. Teach the patient using generic patient discharge information about strokes.
d. Provide information based on the patient's needs in frequent sessions.

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

Answer to Question 1

B
Infants usually develop a nighttime pattern of sleep by 3 months of age. The neonate and infant up to the age of 3 months average about 16 hours of sleep a day. A symptom of anemia or depression is fatigue, but this does not focus on the question the new mother asked about the baby sleeping.

Answer to Question 2

D
Effective teaching strategies for the older adult include providing individualized information that is based on what the patient needs to know and presenting information slowly in frequent sessions. Allow more time for older learners to demonstrate learning. Do not provide the teaching all at once; use frequent sessions. Because the patient has no use of the right hand, navigating the computer could be cumbersome. The older adult needs individualized, not generic, information.