Skin-to-skin contact for the care of premature infants on the mother's chest is a component of \ \ \ \ \ \ .? - HP CHO -9 October 2022

HP CHO -9 October 2022

Child Health Nursing (Pediatrics)

Easy

Appeared in: HP CHO -9 October 2022

Explanation

Kangaroo Mother Care (KMC) is a specialized method of care for preterm or low birth weight (LBW) infants.
The core and most recognizable component of KMC is the 'Kangaroo position,' which involves continuous, prolonged skin-to-skin contact between the infant and the mother or another caregiver.
In this position, the infant is placed vertically between the mother's breasts, which helps to maintain warmth, stabilize vital signs, promote bonding, and facilitate breastfeeding.
KMC also includes components of exclusive breastfeeding (Kangaroo nutrition) and early discharge with adequate follow-up.

Option A: This is a very broad, general term for all policies and services related to children's health. It does not describe a specific clinical intervention.
Option B: Antenatal care refers to the healthcare provided to a woman during pregnancy, before the baby is born. The question describes a postnatal care method for the infant.
Option D: The Integrated Child Development Services (ICDS) is a large-scale Indian government program providing supplementary nutrition, immunization, and preschool education. It is a community health program, not a specific clinical technique for premature infant care.

Clinical Relevance

Nursing practice connection: Knowing Kangaroo Mother Care (KMC) principles and components helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
KMC is a highly effective, low-cost, and evidence-based intervention that significantly reduces mortality, hypothermia, and severe infections in low-birth-weight infants.
Nurses play a crucial role in initiating KMC, educating mothers and families on the correct technique, and providing support to ensure its successful continuation at home.
What if the infant is hemodynamically unstable or requires respiratory support? In such cases, KMC is initiated only after the infant is stabilized. Short, intermittent KMC sessions can be started even when the infant is on CPAP or receiving IV fluids, once deemed stable by the clinical team.

How to Approach the Question

First, identify the key actions and patient population described in the question stem: 'skin-to-skin contact', 'premature infants', and 'mother's chest'.
Analyze the options to see which one specifically incorporates these key elements.
Recognize that 'Child welfare' and 'ICDS scheme' are broad public health programs, not specific clinical interventions.
Differentiate between 'Antenatal care' (before birth) and the postnatal care described in the question.
Conclude that 'Kangaroo Mother Care' is the precise medical term for the practice described.

Concept Tested & Keywords

Concept Tested: Kangaroo Mother Care (KMC) principles and components
Stem keywords: Skin-to-skin contact, premature infants, mother's chest
Lead-in keywords: component of
Clinical cues: The description of placing a premature infant on the mother's chest for skin-to-skin contact is the classic definition of the Kangaroo position.

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E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 18-26

E6 Ghai Essential Pediatrics(pp 26-904 of 913) pp. 147-149, 808-810