The nurse is teaching a class to parents about the components of newborn behavioral assessment. Which parent's statement suggests that educational material has been accurately understood?
1. "My baby's ability to shut down his natural response to the sound of a rattle is considered a part of the variations assessment."
2. "Habituation includes an allover assessment of my baby's body tone."
3. "Observing my baby's frequency of alert status and peaks of excitement is part of the self-quieting activity component."
4. "Motor activity includes assessing my baby's overall tone when he's being handled."
Correct Answer: 4
Rationale 1: Assessment of habituation includes observing the newborn's ability to diminish or shut down innate responses to specific repeated stimuli, such as a rattle, bell, light, or heel pinprick.
Rationale 2: An allover assessment of the newborn's body tone is considered to be part of motor activity.
Rationale 3: Variations include the newborn's frequency of alert states, state changes, color changes, activity, and peaks of excitement.
Rationale 4: Assessment of motor activity includes assessing the infant's overall use of tone while the baby is being handled.
You might also like to view...
The spinal cord injury patient has paralysis of all extremities and bowel and bladder disturbance. The nurse recognizes the injury as most likely occurring at what vertebral level?
a. C1 to C2 b. C3 to C4 c. C2 to C7 d. C4 to C7
The criteria for healthy or adaptive sexual response include: (Select all that apply.)
a. Sexual acts between two consenting adults b. Sexual acts that fulfill the desire of only oneself c. Sexual acts that are not forced or coerced d. Sexual acts that are conducted in privacy e. Sexual acts that fulfill the desire between two people
The night nurse finds a patient who broke both legs in a car accident 2 weeks ago awake and crying at 2:00 AM
When the nurse asks if she wants a sedative to sleep, the patient confesses that she relives the accident in her dreams and is fearful to go to sleep. The nurse recognizes signs of: a. post-traumatic stress disorder (PTSD). b. phobic disorder. c. obsessive-compulsive disorder (OCD). d. panic level of anxiety.
Fetal bradycardia of 60 b.p.m. or less could be indicative of:
a. variable decelerations or fetal hypoxia. b. fetal hypoxia or fetal bradycardia. c. prolapsed cord or placental abruption. d. variable decelerations or placental abruption.