During a postpartum home visit the nurse reinforces the importance of holding the infant and having tummy time periodically through the day with the new mother. What did the nurse observe that indicated the mother needed additional teaching? Select all that apply
1. Rapid respiratory rate
2. Weak gross motor skills
3. Crusted nasal secretions
4. Positional plagiocephaly
5. Sluggish upper body strength
2, 4, 5
Explanation:
1. Because most newborns are nose breathers for the first few months of life, the nasal passages must be kept clear and clean of secretions. A rapid respiratory rate could indicate that the nasal passages are occluded. Instruction about the bulb syringe should be reinforced at this time.
2. Tummy time enhances gross motor skills.
3. Crusted nasal secretions indicate that the mother needs additional information on the use of the bulb syringe.
4. Positional plagiocephaly, or flat head syndrome, occurs when the infant spends too much time in the supine position. The infant needs to be held or placed for tummy time more often.
5. Tummy time enhances upper body strength.
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