The parents of a 24-week preemie who is in the neonatal intensive care unit (NICU) are visiting their baby.
The newborn is intubated, receiving mechanical ventilation, TPN, intravenous fluids and medications, and is being monitored electronically by various devices.
What action by the nurse would be the most appropriate at this time?
Reassure the parents that the newborn is doing well.
Provide discharge teaching on SIDS prevention.
Discuss topics such as diapering, skin, and umbilical cord care.
Emphasize the importance of pumping breast milk for when the infant begins enteral feedings.
The Correct Answer is D
Choice A rationale
Simply reassuring the parents does not provide them with actions they can take to support their baby's care. While reassurance is important, it must be paired with practical advice that empowers the parents and involves them in the baby's care.
Choice B rationale
Discharge teaching on SIDS prevention is essential but is premature for parents with a 24-week preemie in NICU. The immediate focus should be on supporting them with current care practices and preparing them for future involvement in their baby's daily needs.
Choice C rationale
Discussing diapering, skin, and umbilical cord care is important, but it is not the immediate priority in the NICU context. Parents need guidance on how to support their baby’s current complex care needs rather than routine newborn care at this stage.
Choice D rationale
Emphasizing the importance of pumping breast milk is the most appropriate action. Breast milk is crucial for the baby's nutrition and immune support once enteral feedings begin. This action empowers the parents to actively contribute to their baby's care and prepares for future needs. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Frequent bowel movements help excrete bilirubin, which reduces jaundice. Newborns pass meconium and transitional stools frequently, aiding in bilirubin clearance.
Choice B rationale
A stable temperature is important for overall health, but it does not specifically impact bilirubin levels or jaundice.
Choice C rationale
A newborn should have 6-8 voids per day indicating good hydration, but it is not directly related to reducing jaundice.
Choice D rationale
A heel stick with a glucose level of 60 may indicate glucose monitoring but is not related to jaundice management.
Correct Answer is D
Explanation
Choice A rationale
Timing pain medication to avoid affecting the baby is important, but discussing pain management options provides a comprehensive approach.
Choice B rationale
Informing that all medications are found in breast milk can cause unnecessary worry without offering a solution.
Choice C rationale
Allowing the option to avoid pain medication doesn't address the need for effective pain management.
Choice D rationale
Discussing pain management options ensures the mother is aware of safe choices that won't harm breastfeeding.
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