The mother of a newborn calls the pediatric clinic and states, "I am concerned about my baby. When she first goes to sleep, her eyes dart around under her eyelids, she doesn't breathe regularly, and she sometimes twitches."
What advice should the nurse give this mother? 1. "Please bring your baby in immediately for a checkup.".
2. "These are common behaviors in newborns and are normal.".
3. "You should ask the physician about these symptoms at your next checkup.".
4. "If your baby does this again, take her to the emergency department.".
2. "These are common behaviors in newborns and are normal.".
Rationale:
These are indications of normal REM sleep in the newborn. The mother should be reassured that this is normal. Having the mother wait until the next checkup unnecessarily delays this reassurance. There is no need for an immediate trip to the clinic or to the emergency department.
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A newly hired certified nurse?s aide (CNA) has been 15 minutes late returning from mealtime 4 days this week. The nurse manager coaches the employee and finds that the CNA thought meal breaks were 45 minutes
What is the most appropriate response from the nurse manager? 1. Document the tardy behavior in the CNA?s record. 2. Show the CNA the break hours in the employee handbook. 3. Warn the CNA tardiness is not tolerated and follow up in 2 weeks. 4. Warn the CNA that the charge nurse will be timing future meal breaks.
A woman's history and appearance suggest drug abuse. The nurse's best approach would be to:
A. Ask the woman directly, "Do you use any street drugs?" B. Ask the woman if she would like to talk to a counselor. C. Ask some questions about over-the-counter medications and avoid mention of illicit drugs. D. Explain how harmful drugs can be for her baby.
What could M.P. be doing that is causing her nocturia?
What will be an ideal response?
The nurse is preparing to administer an enteral feeding for the patient. The patient has been on enteral feedings for 2 days. The nurse knows that the most appropriate technique for implementing enteral feeding is:
a. weighing the patient weekly. b. measuring the gastric residual every hour. c. changing the formula every 12 hours in an open system. d. leaving the formula in place in an open system for up to 24 hours.