New parents are concerned that after initially breastfeeding their baby 2 hours after being born, she is sleeping soundly and will not awaken. What action by the nurse is most appropriate?
A.
Call the rapid response team.
B.
Document the neonate's behavior in the chart.
C.
Reassure the parents that this is normal.
D.
Stimulate the baby to wake her up.
ANS: C
After the initial period of reactivity, the infant falls into a deep sleep from which she is difficult to arouse. The nurse should reassure the parents that this is normal. Documentation is important, but the nurse first needs to care for the parents and baby by giving the parents information on normal newborn behaviors. Calling the rapid response team and stimulating the baby are both unnecessary.
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When a nurse is making an occupied bed, the client should be placed in which position as the nurse begins the procedure?
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A. "Sounds like it." B. "It feels terrible to lose a daughter." C. "I agree. What do you want to bet he did it?" D. "Have you shared your concerns with the police?"