The neonatal special care unit nurse is overseeing the care provided by a nurse new to this type of unit. Which action requires immediate intervention? The nurse:
1. Holds the infant after giving a gavage feeding.
2. Auscultates lung sounds bilaterally.
3. Provides care when the baby is awake.
4. Gives the feeding with room-temperature formula.
4
Rationale:
1. If the infant cannot be held during a feeding, she should be held after feedings for comfort.
2. Bilateral auscultation is important.
3. Preterm babies spend more time in sleep cycles; it is best to not interrupt sleep when possible.
4. Preterm babies have little subcutaneous fat, and do not maintain their body temperature well. Formula should be warmed prior to feedings to help the baby maintain its temperature.
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A keloid is the result of which dysfunctional wound healing response?
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