Which activities should the nurse in the newborn unit perform prior to discharge from the birth hospital? Standard Text: Select all that apply
1. Perform a heel stick to obtain blood for the newborn screen.
2. Monitor the mother as she performs the first newborn bath to remove blood and amniotic fluids.
3. Administer a folic acid injection to the infant to prevent bleeding.
4. Perform a hearing screening.
5. Monitor feeding behaviors.
1,4,5
Rationale 1: The infant should be screened for state-mandated tests prior to discharge. One such test is for PKU, which is required by all 50 states. PKU should be screened 48 hours after the first formula feeding. If the child is discharged early, the blood will be drawn for screening before discharge and then the test will be repeated at an appropriate time.
Rationale 2: The nurse, not the mother, performs the first bath to remove blood and amniotic fluids. This is a prime opportunity to complete a head-to-toe assessment.
Rationale 3: Vitamin K, not folic acid, is administered. Vitamin K is given prophylactically to prevent bleeding due to vitamin K deficiency.
Rationale 4: A hearing screening is performed on all newborn infants prior to discharge.
Rationale 5: The nurse should assess feeding behaviors of the infant whether the infant is breastfed or bottle-fed.
Global Rationale:
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