A nurse is assisting in planning care for a newborn who is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse recommend?
Avoid swaddling the newborn
Minimize holding the newborn
Decrease environmental noise.
Avoid using a pacifier.
The Correct Answer is C
(a) Avoid swaddling the newborn:
Swaddling is actually beneficial for newborns experiencing neonatal abstinence syndrome. It helps provide comfort and security, reducing irritability and promoting better sleep.
(b) Minimize holding the newborn:
Minimizing holding is not recommended. Holding and gentle handling are important as they provide comfort and can help soothe the newborn. Skin-to-skin contact and gentle rocking are beneficial practices for these infants.
(c) Decrease environmental noise:
Decreasing environmental noise is a key intervention for newborns with neonatal abstinence syndrome. These newborns are often hypersensitive to stimuli, and reducing noise helps create a calming environment that can reduce stress and overstimulation.
(d) Avoid using a pacifier:
Using a pacifier can be helpful for soothing a newborn experiencing neonatal abstinence syndrome. Sucking on a pacifier can provide comfort and help with self-regulation, reducing irritability and distress.
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Related Questions
Correct Answer is A
Explanation
(A) "You should check the identity of individuals who come to remove your baby from the room":
It's crucial for parents to verify the identity of anyone who comes to take their baby out of the room. This helps ensure the baby's safety and prevents unauthorized individuals from taking the baby. Hospital staff usually wear identification badges, and parents should be encouraged to ask for and verify this identification.
(B) "We will scan your baby's identification bracelet each time check on him":
While scanning the baby's identification bracelet might be part of some hospital protocols for specific purposes like medication administration or matching mother and baby during certain procedures, it is not typically done every time a nurse checks on the baby. Continuous scanning is not a standard practice and would be logistically impractical.
(C) "We will match the bracelet on your baby with his footprint record each shift":
Matching the baby's bracelet with footprint records each shift is not a standard safety protocol. Footprints are usually taken at birth for records but are not routinely matched every shift. Identification is more reliably ensured through the use of identification bands worn by both the mother and the baby.
(D) "Your baby will wear an electronic bracelet when he is out of your room":
In many hospitals, electronic bracelets are used as a security measure, but they are typically worn by the baby at all times, not just when the baby is out of the room. This measure helps prevent abduction and ensures the baby's location is monitored continuously.
Correct Answer is A
Explanation
(A) Perform unbiased teaching:
The nurse should provide comprehensive and unbiased information about the various methods of contraception available. This involves explaining the pros and cons of each method, effectiveness, potential side effects, and how each method aligns with the client's lifestyle and health needs, allowing the client to make an informed decision.
(B) Assess the client's socioeconomic status:
While understanding the client's socioeconomic status can provide context for their healthcare needs and potential barriers to accessing certain types of contraception, it is not the primary action when inquiring about contraception methods. The focus should be on providing unbiased information first.
(C) Collect a dietary history:
Collecting a dietary history is not directly relevant to discussing contraception methods. While nutritional status is important for overall health, it does not significantly impact the choice of contraception.
(D) Select the best method of contraception for the client:
The nurse should not select the contraception method for the client. Instead, the nurse's role is to provide the necessary information and support for the client to make their own informed choice. Autonomy and personal preference are key factors in selecting a contraception method.
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