QUESTION: "A client tells the nurse, "I think my baby likes to hear me talk to him." When discussing neonates and stimulation with sound, which of the following would the nurse include as a means to elicit the best response?"
CHOICES
( O ) a.) High-pitched speech with tonal variations.
( X ) b.) Low-pitched speech with a sameness of tone.
( X ) c.) Cooing sounds rather than words.
( X ) d.) Repeated stimulation with loud sounds.
RATIONALE: Providing stimulation and speaking to neonates is important. Some authorities believe that speech is the most important type of sensory stimulation for a neonate. Neonates respond best to speech with tonal variations and a high-pitched voice. A neonate can hear all sounds louder than about 55 decibels. Infants prefer high-pitched, not low-pitched, sounds with variations in tone. Although cooing can be used, a neonate does respond to words, and these should be used as a stimulus to language development. Neonates respond best to speech with tonal variations and a high-pitched voice. Neonates may become startled by loud sounds. NURSING PROCESS STEP: Implementation CLIENT NEEDS CATEGORY: Health promotion and maintenance CLIENT NEEDS SUBCATEGORY: None
