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:
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 Answer: 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.
Rationale 2: Parental input is required to fully understand the infant's behaviors that are not observed by the healthcare team.
Rationale 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.
Rationale 4: Orientation to visual and auditory clues and motor activity are portions of the behavioral assessment.
Rationale 5: The behavioral assessment findings may provide indicators of neurological anomalies.
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