The nurse is reviewing care of patients on a mother–baby unit. Which situation should be reported to the supervisor?
1. A 2-day-old infant has breastfed every 3 hours and voided 4 times.
2. An infant was placed in the wrong crib after examination by the physician.
3. The patient who delivered by cesarean birth yesterday received oral narcotics.
4. A primiparous patient who delivered today is requesting discharge within 24 hours.
2
Rationale 1: Breastfeeding every 2 hours and voiding 4 times is within normal limits for a 2-day-old infant. There is no negligence in this situation.
Rationale 2: Placing an infant in the wrong crib is negligence. Negligence is omitting information or committing an act that a reasonable person would not omit or commit under the same circumstances.
Rationale 3: Receiving oral narcotics at this point in the patient's stay is within normal limits. There is no negligence in this situation.
Rationale 4: If the patient is feeling well and able to care for her infant, it is normal to be discharged at this time. The mother and baby both must be within normal limits to be discharged.
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