Which is the best way for the nurse to assess pain in the neonate?
A) Using the CRIES scale to assess for behavioral and physiologic indicators of pain
B) Using the Oucher Scale with faces showing mild to severe pain
C) Using the nurse's experience in caring for neonates as a guide
D) Using the Children's Fatigue Scale
A) Using the CRIES scale to assess for behavioral and physiologic indicators of pain.
Explanation: A) The CRIES scale can be used for assessment of pain in full-term neonates. This scale uses behavioral indicators such as crying, sleeplessness, facial expressions, and physiologic indicators, such as heart rate and blood pressure, in the assessment of pain.
B) For older children, there are scales such as the Oucher Scale, with faces depicting mild to severe levels of distress caused by pain that the child can point to in assisting nurses in assessment of the child's pain severity.
C) While the nurse's experience is helpful in assessing pain, behavioral indicators provide a more reliable assessment of pain.
D) The Children's Fatigue Scale assesses the impact of fatigue on factors such as the child's ability to engage in play or run, length of sleep, and feeling tired during the day.
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