A nursery nurse is attending the birth of a post-term infant.

Exhibits

Upon review of the medical record, the infant newborn is at risk for developing which of the following symptoms? Select all that apply

Rationale:
A. Medication reconciliation involves reviewing all medications the client was taking at home and comparing them with the prescriptions ordered on admission. This process helps identify discrepancies, prevent omissions, duplications, or potential interactions, and ensures continuity of care.

B. Comparing a standard list of medications for a condition is not part of medication reconciliation because it may not reflect the individual client’s needs, allergies, or previous therapy. The focus should be on the client’s actual home medications.

C. This step refers to the “three checks” of medication administration, which is different from the initial reconciliation process. Reconciliation focuses on matching home medications with admission orders, not verifying labels prior to each dose.

D. While checking for allergies is a critical safety step, it is only one component of safe medication administration. Medication reconciliation is broader, ensuring that all home medications are considered and that any changes or omissions are intentional and documented.

Rationale:
A. "I will remain with my child throughout each timeout session.": The purpose of a timeout is to remove the child from stimulation and provide an opportunity to calm down and reflect. Staying with the child during a timeout defeats this purpose, as it may reinforce attention-seeking behaviors instead of encouraging self-regulation.

B. "My child is most likely to correct behaviors when they experience natural consequences.": Allowing children to experience natural consequences helps them learn cause-and-effect relationships and develop responsibility for their actions.

C. "My child will learn rules when we offer rewards for positive behavior instead of verbal praise.": While tangible rewards can be helpful initially, consistent verbal praise is a more effective long-term strategy for reinforcing desired behaviors. It builds intrinsic motivation and encourages the child to repeat good behavior without expecting material rewards.

D. "I will be careful not to ignore it when my child misbehaves.": Ignoring minor attention-seeking behaviors can be an effective discipline strategy, as it prevents reinforcement through attention. Overreacting to small misbehaviors may inadvertently increase their frequency rather than reduce them.