A premature infant never seems to sleep longer than an hour at a time.Each time a light is turned on,an incubator closes,or people talk near her crib,she wakes up and cries inconsolably until held.The correct nursing diagnosis is ineffective coping,related to:
A)Severe immaturity
B)Environmental stress
C)Physiologic distress
D)Behavioral responses

Question

Quizplus · Accepted Answer

This nursing diagnosis is the most appropriate for this infant.Light and sound are known adverse stimuli that add to an already stressed premature infant.The nurse must monitor the environment closely for sources of overstimulation.Although the infant may be severely immature,in this case she is responding to environmental stress.Physiologic distress is the response to environmental stress.The result is stress cues such as increased metabolic rate,increased oxygen and caloric use,and depression of the immune system.The infant's behavioral response is crying.The nursing diagnosis should reflect the cause of this response,which is environmental stress.

A Premature Infant Never Seems to Sleep Longer Than an Hour