A family whose baby is in the NICU may suffer anxiety and loss due to not being able to take their baby home like other parents would. Which action by the nurse is most supportive?
Encourage the parents to join a support group for NICU families.
Suggest that the parents limit their visits to avoid stress.
Advise the parents to avoid attachment until the baby is discharged.
Provide regular updates and include them in the baby’s care.
The Correct Answer is D
Choice A rationale
Support groups provide emotional connection, but they do not address immediate concerns like the parents' involvement in care, which is essential for fostering confidence and bonding with the baby.
Choice B rationale
Limiting visits could increase parental anxiety and hinder their emotional connection to their baby. Parental involvement in care improves attachment and reduces stress, making this suggestion counterproductive to emotional health.
Choice C rationale
Advising parents to avoid attachment disregards the importance of early bonding in the neonatal period, which plays a key role in long-term emotional and psychological development for both the child and the parents.
Choice D rationale
Regular updates and including parents in the baby’s care empower them, promoting attachment and reducing feelings of helplessness. Parent-infant interaction has been shown to enhance coping mechanisms and improve family dynamics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A respiratory rate of 75 breaths per minute exceeds the normal range of 30 to 60 breaths per minute in neonates. Tachypnea indicates distress, which necessitates immediate intervention to prevent complications.
Choice B rationale
A temperature of 96.5°F is below the normal neonatal range of 97.7°F to 99.5°F, suggesting hypothermia. This can impair enzyme activity, oxygen delivery, and thermoregulatory functions, requiring prompt warming measures.
Choice C rationale
Sucking or licking of the nipples reflects a positive response in kangaroo care, indicative of improved thermoregulation and bonding. This natural behavior also suggests a healthy neonate capable of initiating feeding.
Choice D rationale
Nasal flaring is a sign of respiratory distress, typically indicating increased effort to meet oxygen demands. This would not be considered a positive outcome and requires immediate evaluation and intervention.
Correct Answer is D
Explanation
Choice A rationale
Gastric problems later in life are not an immediate concern for infants with myelomeningocele, as they often arise secondary to neurological impairments or medications but do not pose immediate life-threatening risks at birth.
Choice B rationale
Respiratory depression in infants with myelomeningocele is rare unless coexisting brainstem anomalies or complications from anesthesia are present, which are typically managed during medical interventions.
Choice C rationale
Decreased cardiac output is not a primary risk in infants with myelomeningocele unless there is a coexisting cardiac anomaly, which is not a routine feature of this congenital condition.
Choice D rationale
Infection is a critical immediate risk due to the open neural tube defect in myelomeningocele, which exposes the spinal cord and meninges to environmental pathogens, increasing the risk of meningitis or systemic infection.
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