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. Encouraging the client to become a self-advocate: While empowering the client is important, it does not directly demonstrate active coordination of care. It focuses on client autonomy rather than facilitating access to services.

B. Arranging an appointment for the client with a mobile health clinic: Actively setting up appointments ensures the client receives the necessary health services, demonstrating coordination of care. This involves direct intervention by the nurse to organize and link the client with appropriate resources.

C. Informing the client about providers who accept their health insurance: Providing information is supportive but does not involve actively managing or coordinating care on behalf of the client. It requires the client to take further steps independently.

D. Providing the client with information about transportation services: Sharing resources helps the client plan for access but does not constitute coordination unless the nurse arranges or facilitates the service directly.

Rationale:
A. "Can you tell me more about the surgery I am having?": Before signing consent, the client should already have received complete information about the nature, purpose, risks, and benefits of the surgery from the provider.

B. "Signing this form indicates that I give my permission for the surgery, right?": Informed consent is a legal and ethical document granting permission for the procedure. It shows that the client comprehends their role in authorizing the surgery after receiving adequate information from the healthcare provider.

C. "I will talk with the doctor about my surgery when I get into the operating room.": Consent discussions should occur before entering the operating room. The client must have all questions answered and sign consent prior to sedation or anesthesia to ensure voluntary decision-making.

D. "Every so often, I think about whether or not to have this surgery.": This response suggests indecision and lack of informed readiness for the procedure. The nurse must notify the provider so further discussion can occur to address concerns and ensure the client’s consent is fully informed and voluntary.