Sara, age 4 months, was born at 35 weeks' gestation. She seems to be developing normally, but her parents are concerned because she is a "more difficult" baby than their other child, who was term. The nurse should explain that:
a. Infants' temperaments are part of their unique characteristics.
b. Infants become less difficult if they are not kept on scheduled feedings and structured routines.
c. Sara's behavior is suggestive of failure to bond completely with her parents.
d. Sara's difficult temperament is the result of painful experiences in the neonatal period.
ANS: A
Infant temperament has a strong biologic component. Together with interactions with the environment, primarily the family, the biologic component contributes to the infant's unique temperament. Children perceived as difficult may respond better to scheduled feedings and structured caregiving routines than to demand feedings and frequent changes in routines. Sara's temperament has been created by both biologic and environmental factors. The nurse should provide guidance in parenting techniques that are best suited to Sara's temperament.
You might also like to view...
The health status of an older patient with liver disease is rapidly deteriorating. There is no documentation on the medical record regarding the patient's care wishes. What should the nurse do to ensure the patient receives care that is desired at the end of life?
1. Ask social services to provide an advance directive for the patient to complete. 2. Talk with the patient regarding what the patient wants after the hospitalization ends. 3. Call a meeting with the patient, family, and primary care physician to discuss care goals. 4. Discuss the patient's dire situation with the family and find out what their wishes might be.
The nurse is considering delegating a task to an unlicensed assistive personnel. In deciding whether the task can be delegated, the nurse would choose to do the task if which of the following was determined?
1. The unlicensed assistive personnel is qualified to perform the task. 2. A reasonable and prudent nurse would delegate the task. 3. The act is specified in the state's nurse practice act as an LPN/LVN function. 4. The agency policy specifies that the task may be delegated.
The nurse would be alert to assess for signs of lithium toxicity in a patient with which of the following lithium levels?
1. 1.5 mEq/l 2. 0.1 mEq/l 3. 0.5 mEq/l 4. 1.0 mEq/l
Which fat-soluble vitamin has the least toxicity?
1. Vitamin A 2. Vitamin E 3. Vitamin D 4. Vitamin K