A nurse asks the mother of a 4-month-old infant to undress the infant. The nurse observes the mother taking off several layers of clothing and knows that the outdoor temperature is 70 degrees Fahrenheit. Which statement by the nurse is most appropriate in this situation?

a. "My, you are dressing your infant warmly today."
b. "Did you think it was cold when you left your home this morning?"
c. "I see that you have many layers of clothing on your baby. This may cause your baby's temperature to rise. "
d. "When you leave the office, only put one layer of clothing on your baby."


Correct Answer: 3
Rationale: In this scenario, the mother has overdressed the infant. The nurse needs to gently inform the mother of this problem and to provide information to the mother on why it is a problem. Just making a statement on how warmly the child is dressed will not accomplish this goal or just telling the mother to only put one layer of clothing on the child does not provide a rationale for the mother to make a better decision the next time, so this statement also is not helpful to the mother.

Nursing

You might also like to view...

When a client is performing its vital functions in a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity, the client is said to be in a state of:

a. health c. self-actualization b. homeostasis d. wellness

Nursing

The nurse is assessing a client who is married but has decided not to procreate. The nurse would document this type of family form to be:

a. legally married. c. nuclear. b. dual-career. d. voluntarily childless.

Nursing

A 9-year old tells the community nurse that her mother keeps her at home to take care of her 3-month-old brother

The client feels that her mother does not like her much, that she calls her daughter "stupid" and says she can never do anything right. What type of abuse do these signs indicate? A) Physical abuse B) Emotional abuse C) Economic abuse D) Interpersonal abuse

Nursing

Which condition predisposes a person to infection? (Select all that are applicable)

A. intact skin B. stress C. medical treatment D. age

Nursing