A woman gave birth to an infant weighing 390 g. Which action by the NICU charge nurse is most appropriate?
A.
Begin the discharge planning process when the child is admitted.
B.
Consult social services to help make arrangements for home care.
C.
Consult the palliative care team and admit the infant for comfort care.
D.
Prepare for aggressive resuscitation and admission to the NICU.
ANS: C
Very premature infants present moral and ethical dilemmas regarding their care. According to the International Liaison Committee on Resuscitation, infants born at less than 23 weeks' gestation or weighing less than 400 g are not candidates for resuscitation. The nurse should plan to admit this infant for comfort care only. The other options are not warranted.
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