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A series of questions and answers with rationales related to the developmental care of high-risk neonates and their families. The questions cover topics such as nursing interventions for preterm infants, kangaroo care, environmental stimuli, cognitive development, and transition from NICU to home. The document emphasizes the importance of individualized developmental care plans and parental involvement in the care of high-risk neonates.
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supply from the mother is cut off, the infant may have low blood glucose levels that can cause neurological manifestations such as jitteriness, poor feeding, lethargy, and hypotonia. Hyperglycemia, hypocalcemia, and hyperbilirubinemia can also occur in infants of diabetic mothers, but they have different clinical features.* B:
the high-risk neonate and family? a) Providing only basic care and monitoring. b) Educating parents on feeding techniques. c) Assessing and supporting the developmental needs of the neonate and family. d) Administering medication and performing medical procedures. Answer: c) Assessing and supporting the developmental needs of the neonate and family. Rationale: The nurse plays a crucial role in assessing the developmental needs of the high-risk neonate and family and providing appropriate support, guidance, and interventions to facilitate optimal development and family bonding.
been shown to promote neurodevelopment and enhance bonding between the parent and neonate. These interventions provide warmth, physical contact, and emotional support.
language development, early literacy skills, and cognitive stimulation. It also enhances bonding between the parent and the neonate.
Rationale: Individualized developmental care plans enable healthcare professionals to tailor care and interventions based on each high-risk neonate's unique needs, ensuring optimal developmental support, and promoting personalized growth.
Answer: a) Frequent crying during caregiving activities. Rationale: Frequent crying during caregiving activities in a high-risk neonate may indicate discomfort, pain, or an early sign of developmental delay. This behavior warrants further assessment and intervention.
Answer: Modify the environment to decrease stimuli and provide swaddling during care. Rationale: Modifying the environment to reduce stimuli and providing swaddling can help decrease stress and promote a sense of security for the high-risk neonate. Question: A parent expresses concern about the infant's pain management during procedures. What strategy should the nurse recommend to the parent to support developmental care? Answer: Encouraging kangaroo care and skin-to-skin contact during painful procedures. Rationale: Kangaroo care and skin-to-skin contact have been shown to provide comfort and pain relief for neonates during painful procedures, promoting developmental care principles. Question: A high-risk neonate is scheduled to undergo surgery. How can the nurse support the family in preparing the infant for the procedure? Answer: Educating the family about the benefits of preoperative kangaroo care and promoting parental involvement in care. Rationale: Preoperative kangaroo care has been shown to reduce stress and stabilize vital signs in high-risk neonates, and involving the parents in care promotes family-centered developmental care. Question: A nurse is providing care for a high-risk neonate with a history of prenatal substance exposure. What
approach is most appropriate to support the infant's neurodevelopmental care? Answer: Implementing a quiet environment and providing non-nutritive sucking opportunities. Rationale: Quiet environments and non-nutritive sucking opportunities support neurodevelopment and self- regulation for high-risk neonates with prenatal substance exposure. Question: A high-risk neonate is experiencing feeding difficulties. What intervention aligns with developmental care principles to support feeding? Answer: Allowing the infant to self-regulate the feeding pace and minimizing external stimuli during feeding. Rationale: Allowing the infant to self-regulate the feeding pace and minimizing external stimuli supports the development of feeding skills and reduces stress during feeding. Question: A nurse is providing care for a neonate who is experiencing sleep disturbances. What action promotes developmental care principles to support sleep? Answer: Implementing a consistent environmental routine and providing containment holding during sleep. Rationale: Consistent environmental routines and containment holding during sleep promote self-regulation and improve sleep patterns for high-risk neonates. Question: A preterm infant is demonstrating signs of sensory overload. Which action supports developmental
Answer: Providing containment holding and reducing environmental stimuli. Rationale: Containment holding and reducing environmental stimuli support behavioral organization and self-regulation for high-risk neonates. Question: A nurse is caring for a high-risk neonate with a history of traumatic birth. What intervention promotes developmental care principles to address the effects of the traumatic birth? Answer: Encouraging kangaroo care and providing positive touch experiences. Rationale: Kangaroo care and positive touch experiences have been shown to mitigate the effects of traumatic birth and promote developmental care for high-risk neonates. Question: A high-risk neonate is experiencing respiratory distress. What intervention supports developmental care principles to address respiratory needs? Answer: Providing non-nutritive sucking opportunities and minimizing handling during respiratory distress. Rationale: Non-nutritive sucking opportunities and minimizing handling support respiratory stability and developmental care for high-risk neonates in respiratory distress. Question: A family expresses concerns about the long-term outcomes of their high-risk neonate. What education should the nurse provide to support family-centered developmental care?
Answer: Educating the family about developmental milestones and involving them in developmental care activities. Rationale: Providing education about developmental milestones and involving the family in care activities promotes family-centered developmental care and addresses long-term outcomes for high-risk neonates. Question: A nurse is providing care for a high-risk neonate with a history of intrauterine growth restriction. What intervention aligns with developmental care principles to support growth and development? Answer: Implementing individualized positioning and providing parent-infant interaction opportunities. Rationale: Individualized positioning and parent-infant interaction opportunities support growth and development while aligning with developmental care principles for high- risk neonates with intrauterine growth restriction.