Chapter 16 Discharge Planning and Teaching

A patient in the second trimester of pregnancy is discussing breastfeeding and other options with the nurse. Which question is most important for the nurses to ask?

"How does your partner feel about you breastfeeding?"

The nurse is collecting information from a parent whose infant has frequent diaper dermatitis. Which comment by the parent indicates a possible cause of the condition? Select all that apply.

"I buy an antibiotic ointment specified for skin rashes."

The postnatal nurse is making a newborn visit to the parents who are from a different country. The nurse finds the newborn swaddled in a heavy blanket and wearing a knitted cap. The newborn has wet hair and is restless with rapid breathing. Which initial comment from the nurse is appropriate?

"Share with me how babies are cared for in your country."

The nurse is collecting information from a new mother who is bottle-feeding her infant. Which comment, if made by the mother, requires the nurse to provide patient teaching?

"Sometimes I will add a little water to the formula if I am running low."

A new mother expresses severe frustration with an infant that is exhibiting symptoms of colic. Which suggestions from the nurse are aimed at infant safety? Select all that apply.

Place the baby in a safe place and allow the baby to cry for 10 to 15 minutes. Do simple household chores, such as vacuuming or washing the dishes.

The lactation nurse visits the room of a patient who is postpartum and being prepared for discharge. The nurse plans to provide breastfeeding information aimed at assisting the patient to continue breastfeeding her newborn. Which observation by the nurse indicates a possible disruption to the planned teaching?

The patient is excited about taking her baby home.

A mother who is breastfeeding expresses concern about whether her infant is getting enough milk. Which concrete indicator does the nurse provide to the mother?

There are at least eight wet diapers and several stools per day.

The nurse is teaching new parents about the Period of PURPLE Crying Program aimed at the prevention of shaken baby syndrome. At the end of the program, the nurse evaluates the program successful if parents select which fact? Select all that apply.

Your baby may not stop crying no matter what you do. Your baby may cry more in the late afternoon and evening. A crying baby may look to be in pain, even when he or she is not.

The nurse is teaching the mother of a neonate the benefits of kangaroo care. Which action is explained to the mother regarding the procedure?

A bare-chested neonate is held against a bare-chested parent.

A breastfeeding mother is planning to return to work 3 months after her baby is born. The mother is planning to use an electric breast pump and freeze some breast milk for use later. Which information does the nurse need to provide?

Breast milk can be kept in a deep freezer for 6 to 12 months.

The postpartum nurse is preparing to present infant care information to a couple who expresses concern about when to bathe their newborn. Which behaviors will the nurse present as general guidelines? Select all that apply.

Daily bathing with soap is not necessary for the newborn. Use a mild preservative-free soap with a neutral pH. Avoid the use of soap on the face of the newborn. Genital and rectal areas should be cleaned at each diaper change.

The nurse is preparing to teach a class on the benefits of breastfeeding for infants. Which benefits will the nurse include in the presentation? Select all that apply.

Decreased incidence of SIDS Fewer cases of necrotizing enterocolitis Decreased risk for developing otitis media

The nurse is concerned about the number of infants in the community who die from SIDS even with teaching about "back to sleep" being provided. On which additional preventive measures will the nurse focus? Select all that apply.

During pregnancy, women should not smoke, drink alcohol, or use illegal drugs. Infants need to be dressed to prevent infants from overheating during sleep. Mothers need to be informed that breastfeeding reduces the risk for SIDS. Parents should not smoke or allow smoking around their baby. Parents need to avoid products that claim to reduce the risk of SIDS.

The postpartum nurse-manager wants the unit to become active as a supporter of the Baby-Friendly Hospital Initiative. Which nursing actions will be initiated? Select all that apply.

Help mothers initiate breastfeeding within 1 hour of birth. Teach breastfeeding and promote lactation to mothers separated from infants. Refer mothers to support group resources on discharge.

A patient in the first stage of pregnancy is discussing the options for feeding her infant, and asks the nurse, "Which is the most important reason I should consider breastfeeding my baby?" Which is the most significant reason the nurse presents?

Human milk contains multiple antibodies, enzymes, and immune factors.

The nurse is teaching newborn care to an adolescent mother. When the nurse attempts to teach how to swaddle the newborn, the mother states, "What's the big deal about how to wrap up a baby?" The nurse needs to convey which reason as being most important for proper swaddling?

Improper swaddling can cause hip dysplasia.

A mother who is 2 weeks postpartum asks the nurse lactation specialist how she knows if her baby is hungry. Which hunger indicator does the nurse discuss?

Opening the mouth in response to tactile stimulation

The parents of a newborn male are concerned about providing care for the baby's new circumcision performed with a Plastibell. Which information will the nurse include in the teaching plan for the parents?

Report if penis is red, warm, and swollen and/or there is surgical site drainage.

Which information is important for the nurse to provide to mothers of infants of 3 months of age regardless of the method of infant feeding?

When growth spurts and dietary increases are expected