Strategy Session: Client Need 2

Health Promotion and Maintenance

Question Type: Implementation
Strategy Used: Determine the Outcome

Consider this example:
A one-day old newborn diagnosed with intrauterine growth retardation is observed by the nurse to be restless, irritable, fist-sucking, and having a high-pitched, shrill cry. Based on this data, the nurse should:

(1)		discourage stimulation of the baby by rocking.

(2)		tightly swaddle the infant in a flexed position.

(3)		schedule feeding times every three to four hours.

(4)		encourage eye contact with the infant during feedings.

Applying the strategy: First, reword the question in your own words. What do you do for a newborn experiencing withdrawl? Next, determine the outcome of each proposed action.. Answer choice 1: rocking helps the baby feel more comfortable. Answer choice 2: tightly swaddling the baby promotes the infant's comfort and security. Answer choice 3: small, frequent feedings are preferable. Answer choice 4: may result in overstimulation of the infant. What outcome best meets the need of the client? A few choices are close; but the correct answer is (2). This outcome best meets the immediate needs of the infant.

Other strategy sessions:


		Client Need 1
		Client Need 3
		Client Need 4

Strategy Session: Client Need 2

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