A couple took their newborn home from the hospital yesterday. The pediatrician's office was notified this morning that the infant's newborn screen was positive. What information should the nurse provide to the parents?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "You need to take your baby back to the hospital for examination."
2. "We don't see many false positive screens, so we should take action quickly."
3. "I would like to schedule an appointment so that we can talk with you about this screen."
4. "We may want to schedule an appointment with a specialist."
5. "A second screening may be indicated."
3,4,5
Rationale 1: It is not likely that the baby needs immediate hospitalization.
Rationale 2: False positive screens do occur. There is no need to alarm the parents.
Rationale 3: The primary care provider is responsible for initial counseling.
Rationale 4: The services of a genetic specialist or a specialist in the specific diseases of concern may be necessary.
Rationale 5: In some cases, the infant is screened a second time.
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