A pediatric nurse sees a baby with microcephaly. What action is most important for this nurse to do?
A.
Assess the baby's feeding abilities with an adapted nipple.
B.
Document head circumference at each visit.
C.
Document weight gain at each visit.
D.
Review medication administration with parents.
ANS: B
A baby with microcephaly has a head circumference 2 standard deviations below the mean for gestational age. It is crucial for the nurse to accurately and consistently measure and document the baby's head circumference at each visit. The baby does not need a special nipple. Documenting weight gain is important for every baby, but is not specific for this condition. There are no medications used to treat this condition.
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