A woman is 14 weeks pregnant with her first baby.
She asks how long it will be before she feels the baby move.
The best answer is:.

E.

Choice A rationale:

Administer antibiotics. Rationale: Antibiotics are not indicated for respiratory syncytial virus (RSV) bronchiolitis, which is caused by a viral infection. RSV is a common cause of bronchiolitis in infants, and antibiotics do not treat viral infections. Using antibiotics in this situation would not be appropriate and can contribute to antibiotic resistance.

Choice B rationale:

Administer cough syrup. Rationale: Cough syrups are generally not recommended for infants and young children due to the risk of overdosing and potential adverse effects. Additionally, RSV bronchiolitis primarily requires supportive care and management of respiratory symptoms, which may include oxygen therapy in severe cases.

Choice C rationale:

Encourage infant to drink 8 ounces of formula every 4 hours. Rationale: Maintaining hydration is essential in the management of RSV bronchiolitis. However, the specific volume and frequency of formula intake may vary based on the infant's age, weight, and overall condition. It is important to assess the infant's tolerance and adjust the feeding schedule accordingly. Encouraging frequent, smaller feeds might be more appropriate for some infants to prevent overfeeding and vomiting.

Choice D rationale:

Institute cluster care to encourage adequate rest. Rationale: Cluster care, a nursing intervention involving grouping activities to minimize disturbances and promote longer periods of rest, is beneficial for infants with RSV bronchiolitis. Adequate rest helps conserve the infant's energy, facilitating the recovery process. This intervention supports the infant's overall well-being and aids in coping with respiratory distress.

Choice E rationale:

Place on noninvasive oxygen monitoring. Rationale: Infants with severe RSV bronchiolitis may experience respiratory distress and hypoxia, necessitating oxygen therapy. Noninvasive oxygen monitoring methods, such as pulse oximetry, allow healthcare providers to assess oxygen saturation levels without invasive procedures. Oxygen therapy can improve oxygenation and alleviate respiratory distress, supporting the infant's respiratory function and overall recovery.

Choice A rationale:
Explaining how SIDS could have been predicted and prevented might not be appropriate immediately after the loss, as it can come across as insensitive. The focus should be on providing emotional support to the grieving family.
Choice B rationale:
While it's essential to gather information about the circumstances surrounding the infant's death, conducting an in-depth interview immediately might be overwhelming for the parents. Sensitivity and timing are crucial in approaching this aspect of the situation.
Choice C rationale:
Discouraging parents from making a last visit with the infant is highly inappropriate and insensitive. Parents should be allowed to have their final moments with their children and say their goodbyes in a way that brings them comfort and closure.
Choice D rationale:
Making a follow-up home visit to parents as soon as possible after the infant's death is a crucial nursing responsibility. This visit provides an opportunity to offer emotional support, answer any questions the parents might have, and connect them with appropriate resources for coping with their loss. It demonstrates the nurse's ongoing commitment to the family's well-being during this challenging time.