The nurse is planning an educational session for maternal–child health unit nurses to cross-train them for providing home-based care after discharge
Which statements indicate that additional teaching is required? "The behavioral assessment: (Select all that apply.) 1. "Should be done as soon after birth as possible."
2. "Can be performed without input from parents."
3. "May be incomplete in a one-hour home visit."
4. "Includes orientation and motor activity."
5. "May detect neurological anomalies."
Correct
1, 2
Rationale:
1. The behavioral exam is not accurate until about the third day of life. Newborns have disorganized behavior in the first days after birth.
2. Parental input is required to fully understand the infant's behaviors that are not observed by the health care team.
3. A full behavioral assessment requires seeing the infant in several sleep/alert stages, which is not likely to take place in a one-hour home visit.
4. Orientation to visual and auditory clues and motor activity are portions of the behavioral assessment.
5. This statement is true.
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