The nurse observes a parent swaddling their infant with an unrepaired omphalocele. Which of the following statements would be appropriate?
The nurse observes a parent swaddling their infant with an unrepaired omphalocele. Which of the following statements would be appropriate?
A. "Stop! You will kill your baby."
[0%]
B. "That is a nice, tight swaddle. It will help soothe your new baby."
[3%]
C. "May I help you? We must be careful with the baby's intestines since we do not want the swaddle to push them back inside."
[91%]
D. "Swaddling is not allowed for these babies; please stop."
[6%]
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Gastrointestinal
Client Need
Test Plan
Psychosocial Integrity
Related Topic
Therapeutic Communication
Item Type
Item Type
Application
Explanation
Choice C is correct. This is a therapeutic statement. It educates the parent about the need to swaddle the baby only loosely and avoid any pressure on the exposed intestines so they do not get pushed back inside the baby. It also promotes bonding with the infant, encouraging the parent to touch and care for their baby.
Choice A is incorrect. This is inappropriate to say to a parent as it would cause panic and upset them. The nurse wants to promote the parent bonding with their infant, so phrases like this will scare the parent and make them afraid to touch the baby, which is not therapeutic.
Choice B is incorrect. It is not appropriate to tightly swaddle an infant with an omphalocele. This would place pressure on their exposed intestines and push them back inside the baby.
Choice D is incorrect. This is not appropriate. Swaddling is not ideal for an infant with an omphalocele due to the exposed intestines, but if it is done loosely and avoids placing pressure on the defect, it can certainly be done. Telling the parent to stop will not promote bonding and decreases their interaction with the baby. The nurse should educate the parent on the necessary precautions and help facilitate bonding.
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