A pediatric nurse is assigned telephone triage for the day at a pediatric clinic. The nurse receives a phone call from the mother of a newborn. The mother 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." Based on this data, which response by the nuse is the most appropriate?
A) "Please bring your baby in immediately for a checkup."
B) "You should ask the doctor about these symptoms at your next checkup."
C) "These are common behaviors in newborns and are normal."
D) "If your baby does this again, take her to the emergency department."
Answer: C
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.
You might also like to view...
A client recovering from nephrotic syndrome asks why medication for hypertension has been prescribed. Which response should the nurse make to this client?
a. " ACE-I inhibitors also reduce protein loss into the urine." b. " ACE-I inhibitors increase urination and prevent edema." c. "The medication is prescribed to prevent hypertension from developing." d. " Without an ACE-I inhibitor, increased dietary protein would be needed."
The client who is near death is having severe dyspnea. What is the best management strategy for this problem?
A. Teach the family how to perform nasotracheal or oral-tracheal suctioning. B. Request that the physician order administration of morphine sulfate. C. Document the finding as the only action. D. Initiate endotracheal intubation and ventilator.
Which component of nursing care is central to the care-based approach to bioethics?
A) provision of physical care B) relationships with healthcare providers C) nurse–patient relationship D) management of care
The nurse was employed by a public health agency. During orientation the supervisor informed the nurse that all nurses were legally covered because the agency had its own malpractice/negligence insurance
What, if anything, should the nurse do about liability insurance? A. Ask to see a copy of the policy and be sure it totals at least $1 million per occurrence. B. Continue to carry personal liability insurance for self-protection. C. Express gratitude, because malpractice insurance costs about $100 a year for an RN. D. Stop worrying about negligence and lawsuits and concentrate on doing the very best nursing possible.