What is a priority of care for an infant with an intraventricular hemorrhage?

a. Avoid use of analgesia.
b. Keep the infant's head to the right side.
c. Minimize interventions that cause crying.
d. Encourage the staff and parents to hold the infant.


ANS: C
The priority goal is to decrease intracranial pressure (ICP). Allowing the infant to cry will cause an increase in pressure. Analgesia is used as necessary to maintain the child pain free. This reduces ICP. The infant should be positioned with the body and head in the midline position. Turning the child's head to the right side can cause cerebral venous congestion and increased ICP. The child should have minimum stimulation to avoid increases in ICP.

Nursing

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