Which actions are appropriate when the nurse is performing general observations during the assessment process for an infant? Select all that apply
1. Asking the family how they are adjusting to having the infant in the home
2. Monitoring the parents for clinical manifestations associated with fatigue
3. Assessing for behaviors that indicate appropriate bonding
4. Placing the infant on the scale for a weight and length assessment
5. Auscultating heart and lung sounds while the infant is asleep
1, 2, 3
Explanation:
1. When performing general observations during the assessment of an infant the nurse will ask the parents how they are adjusting to having an infant in the home.
2. When performing general observations during the assessment of an infant the nurse will monitor the parents for clinical manifestations associated with fatigue.
3. When performing general observations during the assessment of an infant the nurse will assess for behaviors that indicate appropriate bonding.
4. Placing the infant on the scale to measure height and weight is not an appropriate action when performing general observations during the assessment process.
5. Auscultating heart and lung sounds is not an appropriate action when performing general observations during the assessment process.
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