The nurse is teaching new parents about behavior cues that indicate their infant has had enough stimulation. Which cues should the nurse include in the teaching session?
a. The infant kicks his legs.
b. The infant is quiet and alert.
c. The infant splays his fingers.
d. The infant looks at their faces.
ANS: C
Nurses should help parents recognize signals that indicate when their infant has had enough interaction and wants to avoid further stimulation. These avoidance cues, such as looking away, splaying the fingers, arching the back, and fussiness, indicate that the infant needs a quiet time. Kicking legs, being quiet and alert, and looking at faces are not clues the infant is overstimulated.
You might also like to view...
A patient has received a bone marrow transplant. What will occur if the patient receives inadequate immunosuppression after the transplant?
A) Graft-versus-host disease B) Hepatic failure C) Renal failure D) Serious infection
Nurses in a hospital are working to establish a union. Which finding will these nurses be interested in seeing?
1. Thirty percent of eligible hospital nurses have signed a card indicating interest. 2. Seventy percent of hospital employees have said they are interested. 3. Fifty percent of staff nurses and management nurses must vote. 4. Thirty percent of all nurses working for the agency must vote.
When providing preoperative teaching for the client who is scheduled for coronary artery bypass surgery in the morning, the nurse would include which dimensions?
Select all that apply. 1. Information 2. Psychosocial support 3. The role of the client and support people 4. Skills training 5. Coughing and deep breathing
The nurse manager is evaluating a staff nurse's knowledge, skills, and attitudes when addressing safety issues with client care. What observations indicate the nurse is skilled when addressing safety concerns?
Select all that apply. A) Documents care immediately after providing it B) Devises methods that enhance teamwork C) Participates in conflict resolution D) Recognizes deficiencies between current and best practice E) Participates in root cause analysis when appropriate