The nurse is planning care for four infants who were born on this shift. The infant who will require the most detailed assessment is the one whose mother:
1. Has a history of obsessive-compulsive disorder (OCD).
2. Has chlamydia.
3. Has delivered six other children by cesarean section.
4. Has a urinary tract infection (UTI).
2
Rationale 1: Obsessive-compulsive disorder (OCD) is not a risk factor for the infant.
Rationale 2: Infants born to mothers with chlamydia infections are at risk for neonatal pneumonia and conjunctivitis, and thus require close observation of the respiratory status and eyes.
Rationale 3: Having multiple siblings, regardless of how they were delivered, is not a risk factor for the infant.
Rationale 4: An infant whose mother has an untreated urinary tract infection might have been exposed to pathogens, but it is not known whether the mother in this question is on antibiotics.
You might also like to view...
During a shift assessment, the nurse is identifying the client's point of maximum impulse (PMI). Where will the nurse best palpate the PMI?
A) Left midclavicular line of the chest at the level of the nipple B) Left midclavicular line of the chest at the fifth intercostal space C) Midline between the xiphoid process and the left nipple D) Two to three centimeters to the left of the sternum
The abbreviation ADL means:
a. Abdomen b. Before meals c. Activities of daily living d. As desired
Which is the priority nursing assessment for the client that has received succinylcholine (Anectine)?
A. Spontaneous bleeding B. Respiratory paralysis C. Anaphylactic shock D. Delirium
She encouraged nurses to be trained based on the conditions that she observed in Santiago.