In a noisy room a sleeping newborn initially startles and exhibits rapid movements; however, the baby soon goes back to sleep. W
hat is the most appropriate nursing action in response to this behavior? 1. Documenting an intact reflex.2. Assessing the infant's vital signs.3. Testing the infant's ability to hear.4. Stimulating the infant's respirations.
Reflex action may be defined as the sudden change in the action against the stimulation. This might cause the muscle contraction and the movement of the particular body parts.
The first response describe in the question is the startle reflex that might result in the decrease in the stimulus due to its repetition. Initially, the response is rapid but later decreases. This is known as habituation and quite important to understand the behavior of the infant.
The primary response in this case by nurse should be observing the reflection of the startle reflexes that is is the brainstem reflectory reaction, that shows the rapid and random moments, when there is repetitive stimulus present.
So, the correct response would be documenting the intact reflexes. Habituation is known as the lowering in response, it is not necessary as it is noisy room and infants response is on the noise.
The healthcare professionals can help equalize the unequal partnership between the adult patient and the provider by using preventive care services and promoting communication that can be directed to an institutional culture that normalizes appropriate assertive responses to stereotyping and ratifying adult patient’s life experience through health care personnel training. With this, they can educate both adult patient and the provider to become more mindful of cues that induce stereotypical thinking.
The primary purpose of the CEU is to provide a permanent record of the educational accomplishments of an individual who has completed significant non-credit educational and career enhancement experiences.
