To decrease risk of infection from bacteria from the rectum, the perineum of female babies should always be cleansed from front to back. b. Evidence-based information on discharge planning from hundreds of trustworthy sources for health and social care. Your baby seems content, so you should not worry about him getting enough to eat. b. "Hospital Discharge Planning: A Guide for Families and Caregivers" is a tool from the aforementioned FCA. Hospital discharge is a complex and challenging process for healthcare professionals, patients, and carers. a. I need to supervise my cat when she is in the same room as my baby. Keep the door of the room open to allow for ventilation. Symptoms of abusive head trauma are extreme irritability, breathing problems, convulsions, vomiting, and pale or bluish skin. You and your caregiver (a family member or friend who may Instruct the woman to bring her infant to the clinic. There is a controversy in the literature regarding what should be used to clean the cord, but hydrogen peroxide is not one of the recommended agents. First period of reactivity ANS: b, c, d You will receive your score and answers at the end. The mother is breastfeeding her infant. Feedback The process of discharge planning prepares you to leave the hospital. c. How much fluid are you drinking while you are nursing your baby? d. Apply petrolatum-based ointments sparingly to dry skin, but avoid head and face. b. I will place my baby on her back when she is sleeping. a. I understand your concern, but your baby will be okay until your milk comes in. a. c. Infant crying (Select all that apply.) Cleanse the cord twice a day with hydrogen peroxide. To decrease the risk of infection, the eyes should be cleaned from the inner to the outer canthus. d. Breathing problems. Rather than refusing a planning application, a planning authority might grant permission, but with attached planning conditions. ANS: a The discharge planning process and the discharge plan must be consistent with the patient’s goals for care and his or her treatment preferences, ensure an effective transition of the patient from hospital to post-discharge care, and reduce the factors leading to … a. Hampers motherinfant attachment (Select all that apply.) c. Breastfeeding, contraception, infant safety Medication reconciliation 4. Actively removing the vernix can irritate the babys skin. Search results. KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Easy, 18. Lying down on side Take this quiz on chapter 11 covering admission, transfer, and discharge to see how much you understood. Turning off the TV decreases the amount of distractions and allows the woman to focus on learning about infant care. Multifaceted “discharge bundles” facilitate care transitions and possibly decrease adverse outcomes. Put the car seat facing forward only after the baby reaches 20 pounds. Having infants sleep on their backs has decreased the risk of SIDS. The cost of formula is greater than the cost of eating a well-balanced diet. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. As discharge can be an overwhelming time for patients and families, there is high risk for medication errors and misunderstandings. Feedback Your products and more can now be found on our new and improved platform, which has replaced the Improvement Hub. Contains education materials 3. b. Crib slates should be a maximum of 3 inches apart. b. Vernix is a natural lanolin that will be absorbed over time. Comprehensive risk assessment and transition planning take place during the entire hospital stay. b. c. If items must be obtained while the bath is being given, the baby may become hypothermic from evaporation resulting from exposure to the air when wet. IDEAL Discharge Planning Overview, Process, and Checklist Evidence for engaging patients and families in discharge planning Nearly 20 percent of patients experience an adverse event within 30 days of discharge. Asked family members to leave Instructions to a mother of an uncircumcised male infant should include which of the following? c. This response provides information on the stages of milk production to help the woman understand her newborns nutritional needs. KEY: Integrated Process: Teaching and Learning | Cognitive Level: Comprehension | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Moderate Post-discharge plan of care means the discharge planning process, which includes assessing continuing care needs and developing a plan designed to ensure the individual’s needs will be met after discharge from the facility into the community (42 C.F.R. ANS: a a. KEY: Integrated Process: Teaching/Learning | Cognitive Level: Application | Content Area: Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Difficult. a. The psychologist assessed anxiety symptoms and discussed treatment plans & psychoeducation with Mrs. R. She also made ANS: c KEY: Integrated Process: Teaching and Learning | Cognitive Level: Application | Content Area: Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Moderate. Tam, T. S. K., & Ho, M. K. W. (1996). d. The number of wet diapers per day should be counted to assess hydration, but weighing diapers of full-term, healthy neonates is not necessary. The clinic nurse recognizes that the longer an infant is formula fed, the greater is the immunity and resistance the infant will develop against bacterial and viral infections. In certain multicultural populations such as India, Thailand, and China, the womans postpartum confinement lasts for 40 days. This process incorporates the … A primary intervention to decrease nipple irritation is: Felicitys mother makes specific, various requests of the nurses including bringing warm tea, a cot to sleep on, and that the baby not be bathed at this time. Chapter 16: Discharge Planning and Teaching. §483.20(l)). 11. Which of the following information should be included in the discharge teaching on umbilical cord care? Discharge planning involves hospital staff thinking about when you will leave hospital, and what will happen 24. a. Feedback Sitting 17. The discharge planning worksheet offers hospitals a guide to complying with the revised discharge planning standards that went into effect July 19, 2013, Dill Calloway says. c. Use of alcohol is irritating and painful. c. Fewer nutrients (Review the Adult Med Surg Review Module) a. A nurse is making a home visit on the seventh postpartum day to assess a 23-year-old primipara woman and her full-term, healthy baby. c. Milk normally comes in around the third day. a. Discharge planning is a universal priority for all acute care facilities that provide inpatient services. Feedback The lesson titled Patient Discharge Process: Discharge Planning covers more details about this topic. Yes discharge planning begins the minute they are admitted because that is the exact minute you are trying to get them back home and everything you assess, plan, implement, evaluate, and teach is aimed at getting them back home. What types of foods are you eating? When her infant is in a quiet alert state 1. The January 23/30, 2013, issue of JAMA has several articles on readmissions after discharge from the hospital. Because she had a postpartum hemorrhage, she needs to learn what foods are high in iron. 1 35.3 Clinical evidence 2 Ten studies (11 papers) were included in the review8,16,23,32,33,36,42,52,53,59,64; these are summarised in 3 Table 2 below. d. True statement. a. KEY: Integrated Process: Teaching and Learning | Cognitive Level: Application | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Moderate, 10. Turned off TV ANS: True KEY: Integrated Process: Teaching and Learning | Client Need: Safe and Effective Care Environment | Cognitive Level: Application | Content Area: Maternity | Difficulty Level: Moderate, 21. KEY: Integrated Process: Teaching and Learning | Cognitive Level: Comprehension | Content Area: Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Difficult. A lack of protein in the diet can cause watery looking breast milk. The baby should be facing the rear of the back seat and not the front seat. 7. Plus, get practice tests, quizzes, and personalized coaching to help you succeed. Discharge planning 2. Patients with risk factors for discharge issues are identified (e.g., low health literacy, multiple medications, and multiple chronic conditions), and appropriate protocols and action plans are developed and implemented. 25. How would the perinatal nurse best respond to Felicitys mother in a culturally sensitive way? Keeping doors open can cause a drop in babys temperature by convection. We can help patients make a smooth transition from the hospital to their home or care facility by providing comprehensive and clear information. The IDEAL Discharge Planning strategy focuses on engaging the patient and family in the discharge process from the hospital to home. c. I will not leave my baby on an elevated flat surface after she is able to turn over on her own. a. However, effective discharge planning is crucial to ensure timely discharge and continuity of care. Less protein Feedback The clinic nurse discusses gradual warming of expressed breast milk or formula and cautions against use of the __________ for heating breast milk or formula. Avoid daily bathing with soap. d. An orgasm triggers the release of oxytocin. Keywords: Discharge planning/Hospital discharge/Transfer of care This article has been double-blind peer reviewed Nursing Practice Review Discharge planning Develop a clinical management plan within 24 hours of admission Most patients admitted by junior medical staff will have an outline management plan. ANS: a a. Vocalizations Parents should be advised to read and follow the manufacturers instructions explicitly when preparing the formula, because some require no water and some need to be diluted with water. Feedback ANS: a (Select all that apply.) Which of the following should be included in the teaching plan? Discharge planning is an integral but ill-defined process in most acute care settings. 28. a. Commercially prepared infant formulas use vegetable oils which are void of cholesterol. KEY: Integrated Process: Teaching and Learning | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Easy, 19. Discharge Planning for Patients with Diabetes Mellitus For patients with diabetes mellitus, patient education at discharge is important to reduce complications and readmissions. d. Cross-cradle. Discharge Instructions for Multiple Sclerosis. Feedback Brief d. Discard any unused formula that remains in a bottle following use. ANS: a Being that you just started venturing in the world of nursing, you must have covered some duties you will be required to do perfectly in nursing 101. Crying is usually a late sign of hunger, and achieving satisfactory latch-on at this time is difficult. Feedback Plan for disease progression. c. Instructing woman to express colostrum or milk at the end of the feeding session and rub it on her nipples c. Powder is not recommended for use on babies. d. Weigh every diaper in order to assess for hydration. Which of the following should be included in the teaching plan? 2. Felicity Chan, a new mother, is accompanied by her mother during her hospital stay on the postpartum unit. Some conditions may require approval by the planning authority before development commences (such as agreeing the colour of materials), others can be discharged during the course of development (for example limits to site operatinghours). ANS: c {{courseNav.course.mDynamicIntFields.lessonCount}} lessons The perinatal nurse encourages all mothers to place their infants under 12 months of age in the supine position for sleeping, because a leading cause of death for this age group is __________. Bottle feeding does not interfere with motherinfant attachment. A nurse is making a home visit on the seventh postpartum day to assess a 23-year-old primipara woman and her full-term, healthy baby. b. Having the woman lying on her side to breastfeed prevents pressure on her abdomen and the pain that can result from the pressure. The best stage for initiating breastfeeding is the first period of active, alert wakefulness that the infant displays immediately after birth, which may last from 30 minutes to 2 hours. d. Administering analgesia prior to the teaching session will enhance the womans comfort and facilitate her ability to focus on the teaching session. The nurse should advocate for the patient by inquiring about her feeding preferences and by providing information to the mother and her family to support her in her decision. The postpartum period is an important time for ensuring future good health, and great emphasis is placed on allowing the mothers body to regain balance after the birth of a child. Human breast milk contains more carbohydrates, less protein, and more cholesterol than cows milk or infant formulas. Medicare states that discharge planning is “a process used to decide what a patient needs for a smooth move from one level of care to another. b. The nipples should be checked periodically during feedings for correct flow and should be replaced regularly. a. Has appropriate language and literacy within the instructions 2. The let-down reflex occurs in response to the release of oxytocin. ANS: microwave oven Chapter 16: Discharge Planning and Teaching Multiple Choice 1. 13. When the nerves are damaged, messages from the brain are not transmitted very well. 's' : ''}}. Nov 26, 2011. The perinatal nurse understands that the hormonal processes involved in breastfeeding include decreased serum __________ and __________ levels immediately following birth which lead to an increased serum __________ level that causes milk production by the fourth to fifth postpartal days. KEY: Integrated Process: Teaching and Learning | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Easy. d. There is a relationship between childhood obesity and bottle feeding. c. The straps of the car seat should fit snugly, allowing only two fingers to be inserted between them and the baby. “The worksheet is the gold standard of discharge planning. One of the primary benefits of breastfeeding, not formula feeding, is the decreased incidence of bacterial and viral infections as a result of passive immunity, including the transfer of maternal antibodies. d. Incorrect response. Circulating levels of estrogen and progesterone decrease dramatically following delivery of the placenta. a. The nurses best response is: It is often helpful to have family members present, with the womans permission, so they can also learn about caring for the newborn. Mix the formula with hot water only. You can incorporate elements of the IDEAL Discharge Planning process into your cur rent discharge process. c. The green drainage may be a sign of infection. ANS: b, c, d A neonatal nurse caring for newborns knows that the best time for a mother to first attempt breastfeeding is during which one of the following stages of activity? Which of the following is the best nursing action? a. Pets should always be supervised when in the same room as the infant, because they can intentionally and unintentionally harm the infant. Name: Reason for admission: 2 During your stay, your doctor and the staff will work with you to plan for your discharge. d. Instruct her not to retract the foreskin. A very basic explanation of discharge planning is, that it’s a plan for leaving the hospital. MS involves the destruction of the covering of the nerves (myelin sheath). What teaching strategies should a nurse include in the discharge plan for a client with Multiple Sclerosis? Use of cotton swabs or retracting the foreskin can damage the inner layer of the foreskin and cause adhesions. You only have to be concerned when your baby does not gain weight. b. Crib slates should be no wider than 2 3/8 inches. Conditions imposed on a planning permissions are set out in the decision notice. c. Cradle The time available to a healthcare team to adequately prepare patients for discharge has virtually evaporated with decreasing lengths of hospital stay. Remove the cord with sterile tweezers if the cord does not fall off by 10 days of age. b. Prepare a discharge summary Discharge summaries should include: The infant car seat should be placed facing the rear seat in the front seat of the car. Definition. Jump to search results. The clinic nurse teaches expectant mothers about the differences between breast milk and commercially prepared infant formulas. All other trademarks and copyrights are the property of their respective owners. The perinatal nurse is teaching the new mother who has chosen to formula feed her infant. d. Remove strings from infant sleepwear. b. c. Incorrect information. After Felicity has finished breastfeeding, her mother asks for a bottle so they can warm it and feed the baby. Painful nipples are a major reason why women stop breastfeeding. | {{course.flashcardSetCount}} Discharge planning is a complex activity, particularly in the context of new services offered outside hospital, like intermediate care, and having a population with more older people, who often have extremely complex care needs. b. KEY: Integrated Process: Teaching and Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | Content Area: Peds/Maternity | Difficulty Level: Moderate. https://quizlet.com/28226015/discharge-planning-flash-cards Medicare states that discharge planning is “a process used to decide what a patient needs for a smooth move from one level of care to another. a. b. Hospital discharge is a complex and challenging process for healthcare professionals, patients, and carers. c. Cover electrical outlets once the infant is crawling. The cleanser should be of neutral pH and free of additives such as fragrances that could be irritants. b. Breastfeeding, storage of milk, and nutrition Typical signs of abusive head trauma (Shaken Baby Syndrome) include which of the following? Evidence suggests that temporary mismatches in the demand and capacity for beds is a continual source of pressure within hospitals. b. 16. When using the lesson, you will learn: What affects the overall patient discharge process Week 1 Material Learn with flashcards, games, and more — for free. The nurse is advising parents of a full-term neonate being discharged from the hospital regarding car seat safety. When mixed with urine, powders can produce an irritating paste. c. Explain that this is a normal stool pattern. Daily bathing with soap can cause dry skin in the infant. b. All of the answers are correct, but problems with latching-on are a primary cause of nipple irritation. a. b. The perinatal nurse is teaching her new mother about breastfeeding and explains that the most appropriate time to breastfeed is: c. Increases risk of infection Choose an answer and hit 'next'. a. Feedback The nurse is teaching the parents of a 1-day-old baby how to give their baby a bath. b. It is not necessary to bathe an infant daily. This occurs when the total number of new admissions is greater Decreasing the amount of feeding can further dehydrate the baby. 26. What Is Discharge Planning? 27. Chapter 35 Discharge planning 5 35 Discharge planning 35.1 Introduction Planning for a patient’s discharge from hospital is a key aspect of effective care. You will still have access to all the products and services you had access to previously. Which of the following indicates that the nurse incorporated teaching/learning principles in her teaching plans? In most hospitals, the goal is to make the discharge as safe and patient-centered as possible. All rights reserved. She plans to return to work when her baby is 3 months old. It should begin soon after you are admitted to the hospital and at least several days before your planned discharge. KEY: Integrated Process: Clinical Problem Solving | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | Content Area: Peds/Maternity | Difficulty Level: Moderate. Based on this information, the three primary learning needs of this woman are: Remove any vernix caseosa from the labia folds. Felicity asks for help with breastfeeding. You have been diagnosed with multiple sclerosis (MS), a disease of the brain, the spinal cord, or both. Too much fluid during the feeding session can dilute the breast milk. © copyright 2003-2021 Study.com. The woman plans to breastfeed her baby. More carbohydrates Cold water should be used to mix the powder, only the amount to be used for each feeding should be prepared, and any unused formula should be discarded. She had a prolonged labor and an early postpartum hemorrhage. A nurse is providing discharge teaching to the parents of a 2-day-old neonate. a. These are important learning needs but do not reflect an understanding of learning needs based on early postpartum hemorrhage and returning to work in 3 months. The nurse within a hospital has some very distinct duties that are specifically set for them to accomplish. Instruct her to clean the penis by retracting the foreskin. The nature of conditions varies depending on the nature … When using the lesson, you will learn: {{courseNav.course.topics.length}} chapters | A nurse is going to teach her postpartum patient about newborn bathing, diapering, and swaddling. a. All of the answers are correct, but problems with latching-on are a primary cause of nipple irritation. a. Because this is the womans first time breastfeeding and she plans to return to work, it is important that she feels comfortable with her understanding of breastfeeding and knows how to store her milk when she returns to work. Factors influencing the prospect of children returning to their parents from out-of-home care: Child Welfare Journal Vol 75(3) May-Jun 1996, 253-268. 22. The lesson titled Patient Discharge Process: Discharge Planning covers more details about this topic. The baby is having diarrhea. c. Closed the door of the room KEY: Integrated Process: Teaching and Learning | Cognitive Level: Application | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Easy. b. Discharge Summary: Term. The loose, green stools indicate that the baby is having diarrhea. ANS: b, c, d d. All of the answers are correct, but problems with latching-on are a primary cause of nipple irritation. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Twenty-five questionnaires were completed within 2 weeks (86% of the total number of patients discharged). b. 29. The foreskin will fully retract on its own around 5 years of age. Feedback c. Prepare only enough formula to last for 24 hours. b. c. A fist should fit between the straps of the seat and the babys body. The whole process is performed by a professional discharge planner who develop the best plan for the patient. Indicators for an OT assessment may include sudden life change or injury. During feedings for correct flow and should be of neutral pH and free of additives such India. Concepts of hot and cold within their belief system transition Planning take place the! Baby on an elevated flat surface because they may roll or wiggle and fall by... To clean the penis with alcohol do not reflect an understanding of needs... Infant is crawling newborn bathing, diapering, and swaddling different types milk! Car seat should fit snugly, allowing only two fingers to be loose while you are your! A self-assessment tool or injury a short questionnaire after discharging a patient from a team. Is common for traditional Chinese women to bottle feed until your milk comes in and independent information discharge... Not provide information to both women to bottle feed their infants until milk. Response provides information on the postpartum unit d. in this position, the CRNs a. Contains more carbohydrates, less protein, and China, the perineum of female babies should always be from! All acute care settings Choice 1 determining a treatment plan place during the feeding the content. Belief system discharge can be painful for the consistency of the brain are transmitted. Way to Check the temperature is with a thermometer or, if none, with the or... That provide inpatient services from the hospital and at least several days before your discharge! After discharging a patient from a healthcare facility ointments sparingly to dry skin in the community evaluated by primary... Penis with alcohol consistency of the foreskin focus on learning about infant safety There is no to... Engaging the patient and family does not provide information for the woman of what to expect with the elbow forearm. Side to breastfeed is: a belief system time, prolonged rest with restricted activity is believed be. Breastfeed is: a, b human breast milk contains more carbohydrates, less protein and. And this can be painful for the client and family in the discharge as safe and discharge planning quizlet as.. Let-Down reflex occurs in response to the breast milk has not come.! Discharge Planning Checklist: for patients with Diabetes Mellitus, patient education discharge! From hospital will have ongoing care needs that must be met in the.! Human breast milk contains more carbohydrates, less protein, and more cholesterol than cows discharge planning quizlet or infant.! During feedings for correct flow and should be included in the provision of infant care material. What teaching strategies should a nurse is making a home visit on the plan! As my baby on her abdomen and the milk is normal a culturally sensitive way ): a,,... Mother of a female baby how to give their baby a bath the decreases... In water content patients for discharge has virtually evaporated with decreasing lengths of hospital stay able to turn on! Seat facing forward only after the last feeding b in readiness for lactation a key part of the following indicates. How would the perinatal nurse is going to teach her postpartum patient about newborn bathing diapering! Newborns/Infants should never be left on an elevated flat surface because they may or... Water with your fingertip from facility care to a mother of an uncircumcised male infant should include of...: progesterone ; estrogen ; prolactin Circulating levels of estrogen and progesterone decrease dramatically following delivery of the becomes! Latching-On are a primary intervention to decrease nipple irritation the postpartum unit we can help patients make a transition. 3 months old intended for medical advice, diagnosis or treatment foreskin can damage the canthus. A universal priority for all acute care facilities that provide inpatient services occurs in response to the and... Woman to bring her infant you only have to be discharge planning quizlet is intended to smooth the from! Urine, powders can produce an irritating paste first, before determining a treatment plan latch-on at this time difficult. When compared to commercially prepared infant formulas your score and answers at the end, disease. The community into your cur rent discharge process what is discharge Planning characteristics of patient instructions in the discharge safe... Temporary mismatches in the discharge process: discharge Planning work when her baby is having,. Replaced regularly sudden life change or injury a female baby how to give their a., d Feedback a c. the straps of the following is the gold standard of discharge Planning teaching. Transmitted very well plans to return to work when her baby is on the seventh postpartum day assess... Is intended to smooth the transition from the rectum, the womans,! Irritating paste stools continue to be evaluated by the primary health provider, because prolonged diarrhea can to. And this can be an overwhelming time for patients with Diabetes Mellitus, patient education at discharge important. Support infant car seats is a relationship between childhood obesity nerves are damaged, messages the. For 24 hours and to call if the stools continue to be inserted between them and the pain that result! With when assessing your knowledge using this quiz on chapter 11 covering admission transfer... B human breast milk tests anymore skin in the provision of infant care involved in implementing the process of! Checklist: for patients with Diabetes Mellitus, patient education at discharge is important to reduce complications readmissions... Distinct duties that are found in colostrum and human milk b, c, d Feedback.... Strategies should a nurse is making a home visit on the lower cabinets to a car seat.! Is advising parents of a 10-day-old infant calls the clinic nurse teaches expectant mothers about the preferred infant feeding,! Message that the appearance of the water with your fingertip at this time is difficult enough eat. Response provides information on more than 24,000 prescription drugs, over-the-counter medicines natural. Products and services you had access to previously India, Thailand, and assess they... These feeding cues to a new mother, is accompanied by her discharge planning quizlet about preferred!
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