A neonate is born with a bilateral cleft lip that was not detected during the pregnancy. The parents are distressed about the appearance of their infant
Which nursing actions are appropriate to assist the parents to bond with their newborn? Select all that apply. 1. Calling the newborn by the chosen name
2. Keeping the newborn's lower face covered with the blanket
3. Smiling and talking to the newborn in the parents' presence
4. Showing the parents before and after pictures of other children with cleft lips
5. Discussing positive features of the baby
1, 3, 4, 5
Explanation:
1. This behavior humanizes the child to the parents and is appropriate.
2. This indicates that the infant's appearance is distressing. Although the nurse would want to shield the child from a visitor's stare, the nurse would not want to hide the child from her own family.
3. This indicates acceptance of the infant by the nurse.
4. It is usually not appropriate to show before and after pictures as you cannot predict the success of the surgery on this child. But in the case of cleft lip, the improvement will be significant and it is considered acceptable to show before and after pictures.
5. Statements like, "Your baby is the sweetest thing—she never cries," can help the parents recognize positive features about their baby.
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Advance directives differ from informed consent in that advance directives:
a. are guidelines to be used only if a client cannot make medical decisions for him- or herself b. are only used for specific procedures and expire after the procedure is performed c. can be obtained from a client who is sedated, while informed consent cannot d. only apply to medical treatments and interventions and cannot be used to direct future nursing care
The nurse, completing a comprehensive health assessment on a patient newly admitted to an acute care facility, will use this assessment to:
A) Evaluate a problem. B) Provide health promotion education. C) Gather information about a patient problem D) Systematically prioritize needs beginning with the airway.
The immune system can cause diseases by attacking the body's own normal cells, tissues, or or-gans
Indicate whether the statement is true or false.
Police escort a 29-year-old client to an emergency department (ED) after being sexually assaulted. The client is sobbing, her clothing is torn, and she has superficial cuts on her neck and chest
Which is the most appropriate initial nursing statement to the client? A) "You are safe now." B) "May I call someone for you?" C) "The police will want to interview you." D) "We'll have to take photographs of those wounds."