Which information is most important for the practical nurse (PN) to relay to the registered nurse (RN) concerning a 24-hour-old infant?
A.
The mother has changed 3 wet diapers.
B.
The infant has not emptied a 3 oz formula bottle.
C.
The infant has not passed meconium stool.
D.
The mother has used the bulb syringe.
The correct answer and Explanation is :
The most important information for the practical nurse (PN) to relay to the registered nurse (RN) concerning a 24-hour-old infant is:
C. The infant has not passed meconium stool.
Explanation:
In newborns, the passage of meconium, which is the first stool formed in the intestines, is a critical indicator of gastrointestinal function and overall health. Typically, meconium is passed within the first 24 to 48 hours of life. If a 24-hour-old infant has not yet passed meconium, it raises concerns about potential complications such as bowel obstruction or congenital abnormalities, including conditions like Hirschsprung’s disease or intestinal atresia.
While the other options present relevant information about the infant’s condition, they are comparatively less urgent:
- A. The mother has changed 3 wet diapers. This is a positive sign of hydration and renal function, indicating that the infant is likely receiving adequate nutrition if breastfeeding or bottle-feeding has begun.
- B. The infant has not emptied a 3 oz formula bottle. Although it’s important to assess feeding patterns, especially if the infant is not taking adequate nutrition, it is not as immediately concerning as the absence of meconium.
- D. The mother has used the bulb syringe. While suctioning may be relevant if the infant had respiratory distress or excessive secretions, it does not have the same level of urgency regarding the infant’s health as the absence of meconium.
In summary, not passing meconium is a significant finding that requires further assessment and possible intervention. This information should be promptly communicated to ensure appropriate care and monitoring for the infant’s well-being.