On day 3 of life, a newborn continues to require 100% oxygen by nasal cannula. The parents ask whether they can hold their infant during his next gavage feeding. Given that this newborn is physiologically stable, what response would the nurse give?
Parents are not allowed to hold infants who depend on oxygen.
You may hold your baby during the feeding.
You may hold only your baby’s hand during the feeding.
Feedings cause more physiological stress, so the baby should not be held during feedings.
The Correct Answer is B
Choice A rationale
Denying parents the ability to hold their infant can interfere with bonding. Physiologically stable infants on oxygen benefit from being held, as it supports emotional well-being and parent-infant attachment without compromising oxygen delivery.
Choice B rationale
Holding a physiologically stable infant during gavage feeding fosters bonding, reduces parental anxiety, and stabilizes the infant's physiological parameters, as tactile stimulation aids neurodevelopment without causing stress to the infant's cardiorespiratory system.
Choice C rationale
Handholding alone is insufficient to support bonding and emotional connection. Physiologically stable infants benefit from full body contact during feeding to promote warmth, comfort, and the release of calming hormones like oxytocin.
Choice D rationale
Physiologically stable infants do not experience increased stress during feeding when held. Holding provides comfort and reduces stress, improving the feeding experience and supporting parent-infant bonding and attachment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A soft uterus indicates uterine atony, a complication rather than a normal finding. Daily fundal palpation ensures involution but should result in a firm, not soft, uterus.
Choice B rationale
Passage of clots is common postpartum, but ongoing monitoring for excessive clotting is crucial as it may indicate retained placental fragments or incomplete uterine involution.
Choice C rationale
Decreased lochia does not indicate complications unless it is completely absent, which may suggest uterine or cervical obstruction and warrants further evaluation.
Choice D rationale
Increased lochia or bright red bleeding signifies secondary postpartum hemorrhage, often caused by retained placental tissue or subinvolution, requiring immediate medical attention.
Correct Answer is C
Explanation
Choice A rationale
Advising about birth defects without offering compassionate support can intensify parental grief and fails to acknowledge the significance of their emotional trauma, worsening their psychological response after a stillbirth.
Choice B rationale
Discouraging naming deters parental acknowledgment of their baby's existence, which disrupts grieving processes. Recognizing their loss helps families process grief healthily and facilitates emotional closure.
Choice C rationale
Giving mementos and allowing holding the baby fosters parental bonding and validates their loss. These actions are supported by bereavement care guidelines promoting emotional processing, acceptance, and closure after stillbirth.
Choice D rationale
Immediate morgue transport disregards the psychological needs of grieving parents and deprives them of opportunities to spend time with their baby, essential for acknowledging their loss and beginning grief processing.
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