Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A nursing care plan has been created for a term small-for-gestational-age neonate who was admitted to the NICU. A priority nursing diagnosis was: Imbalance nutrition: Less than body requirements. The goal was for the newborn to reach 4 pounds by a specified date. On the specified date, the infant weighs 3 pounds and 2 ounces. The nurse should:
  1. Increase the daily number of calories
  2. Reassess the problem before altering the plan
  3. Postpone the evaluation date for another month
  4. Change the goal to a more realistic number
Explanation
Answer - B - The nurse should reassess the problem before altering the plan. Before further intervention, the reason for the inadequate weight gain must be evaluated. Evaluation should be done before changing the plan or altering the goal.
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