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    Nurs 2258-4331 Paediatrics Proctored Exam

    Patty calls the hospital nursing hotline and asks, "My 8-week-old daughter cries 8 hours a day, and she is hard to console, is that normal?" What should the nurse's response be to this mother?

    Explanation & Rationale

    Choice A reason: While crying is common in infants, crying for 8 hours a day is excessive and may indicate colic or another underlying issue. This response is too general and does not address the severity of the concern. Choice B reason: Attributing prolonged crying to tiredness without assessment is dismissive and may delay appropriate evaluation. It does not reflect clinical reasoning or therapeutic communication. Choice C reason: This is the most appropriate response. Colic is characterized by excessive, inconsolable crying in otherwise healthy infants. Asking further questions allows the nurse to assess for patterns, feeding issues, and signs of distress. It demonstrates empathy and clinical judgment. Choice D reason: While referral may be necessary, immediately instructing the parent to call the doctor without assessment may increase anxiety. A more supportive and investigative approach is preferred.

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