The parents of a newborn are concerned that their baby continues to lose weight despite being held and cuddled. What should the nurse instruct tell these parents? Select all that apply
1. Excessive handling increases caloric use.
2. Permit the newborn to rest quietly when eyelids flutter.
3. Constant handling increases metabolic rate.
4. Gently flick the sole of the foot to stimulate.
5. Avoid stimulating when eye contact is absent.
1, 2, 3, 5
Explanation:
1. Excessive handling increases caloric use and causes fatigue, which will affect weight gain.
2. Fluttering eyelids are an indication of fatigue. When this occurs, stimulation should be stopped.
3. Excessive handling increases metabolic rate, which burns more calories.
4. When the infant appears fatigued, stimulation should stop. The parents should wait for the infant to appear alert before stimulating.
5. A subtle cue of fatigue is the loss of eye contact. The infant should be permitted to sleep or rest.
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