What is an essential component in caring for the very low– or extremely low–birth-weight infant?
a. Holding the infant to help develop trust
b. Using electronic monitoring devices exclusively
c. Coordinating care to reduce environmental stress
d. Incorporating infant stimulation elements during assessment
ANS: C
One of the principles of care for high-risk neonates is close observation and assessment with minimum handling. The nurse checks the apical rate against the monitor readings on a regular basis. The infant's care is then clustered, and the infant is disturbed as little as possible. Holding an infant to help develop trust is not part of the assessment. In some areas, parents use "skin-to-skin" care with their infants. Although electronic monitoring devices are used, the nurse must validate the readings with the infant's data. For an ill neonate, excessive stimulation creates stress.
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