The parents refuse newborn screening for their infant, who was born this morning. What nursing action is indicated?
1. Draw a sample for screening in case they change their minds.
2. Discuss the purposes of the screen with the parents.
3. Obtain a court order for the screening.
4. Warn the parents that the pediatrician may refuse to care for the infant if screening is not performed.
2
Rationale 1: Drawing a sample without consent is not ethical.
Rationale 2: The nurse should attempt to offer additional education to these parents.
Rationale 3: If the parents refuse the screen, nothing else can be done.
Rationale 4: Threatening the parents and indicating care will be withdrawn is not ethical.
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