The nurse is preparing to perform a heel stick on a newborn. To promote comfort during the procedure, the nurse should
The nurse is preparing to perform a heel stick on a newborn. To promote comfort during the procedure, the nurse should
A. apply a cool compress to the heel for three to five minutes.
[14%]
B. turn off the lights in the room to minimize stimulation.
[5%]
C. milk the heel once punctured by the lancet.
[14%]
D. swaddle the infant.
[66%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Newborn
Client Need
Test Plan
Basic Care and Comfort
Related Topic
Non-Pharmacological Comfort Interventions
Item Type
Item Type
Application
Explanation
Choice D is correct. Swaddling the newborn can help promote comfort during a heel stick procedure. Swaddling involves wrapping the baby snugly in a blanket or cloth, which can provide a sense of security and comfort. It can also help restrict the infant's movements, making it easier for the nurse to perform the heel stick safely and efficiently. Another pain reduction method includes giving the infant sucrose prior to the heel stick.
Choice A is incorrect. A cold compress would decrease blood flow to the heel and potentially require a second heel stick to obtain an appropriate sample. While a cold compress may attenuate pain, it is not recommended because it may reduce blood flow to the heel.
Choice B is incorrect. Minimizing stimulation in the room is helpful, but turning off the lights is not recommended because it may cause the client to get a needlestick injury.
Choice C is incorrect. Milking the heel once the lancet punctures would inflict more pain and would not be helpful.
Additional Info
✓ Prior to the procedure, warm the newborn's heel by using a warm cloth or warm compress. This helps to dilate the blood vessels, making it easier to obtain a blood sample and potentially reducing the discomfort for the infant.
✓ Maintain open communication with the parents or caregivers. Explain the procedure, its purpose, and what to expect. Answer any questions they may have to alleviate their concerns.
✓ Perform the heel stick quickly and efficiently to minimize the duration of discomfort for the infant. Proper training and technique can help with the swift completion of the procedure.
