The neonatal special care unit nurse is overseeing the care provided by a nurse new to the unit. Which action requires immediate intervention? The new nurse:

1. Holds the infant after giving a gavage feeding.
2. Auscultates lung sounds bilaterally.
3. Provides care when the baby is awake.
4. Gives the feeding with room-temperature formula.


4
Rationale 1: If the infant cannot be held during a feeding, she should be held after feedings for comfort.
Rationale 2: Bilateral auscultation is important.
Rationale 3: Preterm babies spend more time in sleep cycles; it is best to not interrupt sleep when possible.
Rationale 4: Preterm babies have little subcutaneous fat, and do not maintain their body temperature well. Formula should be warmed prior to feedings to help the baby maintain its temperature.

Nursing

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