A new mother has brought her 6-week-old infant into the pediatric clinic for a routine checkup. She appears anxious and expresses several concerns regarding her infant's care
a. The mother is confused about the need for immunizations as she has been told that there is a link between autism and certain immunizations. What would you say to the mother regarding the importance of immunizations?
b. The mother tells the nurse that she is concerned that her infant is not feeding well. She has been breast-feeding primarily, but supplementing with formula, and says her infant has been "spitting up" frequently. What questions would you ask the client?
- A discussion of the positive effects of immunization, such as a decrease in childhood communicable diseases, which leads to a decrease in infant morbidity and mortality
- Discussing that these effects are only seen if all children receive the immunizations
- Discussing that there is no evidence at this time linking autism to childhood immunizations
b.
- The nurse should perform an assessment to determine if the infant has colic, which includes crying for more than 3 hours, more than 3 days per week, for more than 3 weeks.
- Reassuring that spitting up is common and as long as the infant is gaining weight, this is normal
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