The nurse is assessing a newborn. The parents are present. Which statement is best?
1. "Your infant was born with several reflexes. Some help her eat and protect her. I will show you what they look like."
2. "You will be most successful if you put your baby to breast when she has her eyes wide open and she is looking around."
3. "The muscle tone of your baby will increase as she gets older. You'll notice her head lagging less in a few weeks."
4. "The umbilical cord stump will dry up and fall off in about two weeks. There might be a spot of blood when it falls off."
2
Rationale:
1. Although this is true, parents' knowledge about reflexes is not critical to the survival of the infant.
2. This statement is best because it is about the physical need of feeding. Infants feed best when they are in the active alert phase, characterized by quiet, eyes open, and looking calmly around.
3. Although this statement is true, parents' knowledge about neuromuscular development is not critical to the survival of the infant.
4. Although this is true, parents' knowledge about the cord falling off is not critical to the survival of the infant.
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