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 inconsolably cries until held.What is the correct nursing diagnosis beginning with "ineffective coping,related to"?

Question

Quizplus · Accepted Answer

"Ineffective coping,related to environmental stress" is the most appropriate nursing diagnosis for this infant.Light and sound are known adverse stimuli that add to an already stressed premature infant.The nurse must closely monitor the environment 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 to the environmental stress is crying.The appropriate nursing diagnosis reflects the cause of this response.

A Premature Infant Never Seems to Sleep Longer Than an Hour