# Situation: The public health nurse of a Rural Health Unit (RHU) plans her week of contacts with registered families. Many are young families whose infants and toddlers are healthy and whose immunizations are up to date under the National Immunization Program (NIP). At a home visit, the nurse teaches a first-time mother how to bathe her healthy 1-month-old. The family has no baby bathtub. Which action BEST follows the principles of home visiting?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=627043  
> language: ko  
> subject: Nursing Practice I — Community Health Nursing

## 문제

Situation: The public health nurse of a Rural Health Unit (RHU) plans her week of contacts with registered families. Many are young families whose infants and toddlers are healthy and whose immunizations are up to date under the National Immunization Program (NIP).

At a home visit, the nurse teaches a first-time mother how to bathe her healthy 1-month-old. The family has no baby bathtub. Which action BEST follows the principles of home visiting?

## 보기

1. Bring a baby bathtub from the RHU for the family to borrow
2. Advise sponge baths only until the family has a baby bathtub
3. Postpone the bath lesson until the family buys a baby bathtub
4. Show the steps using a clean basin the family already owns **✔ 정답**

**정답: 4**

## 해설

A home visit teaches simple, safe methods using the family's own resources so that the family can continue the care after the nurse leaves. Using a clean basin the household already has lets the mother learn and repeat the bath at once. Waiting for or lending equipment teaches a method the family cannot sustain.

## 심화 해설

Core principle of home visiting

The defining feature of a home visit is that the nurse works with the family’s existing resources rather than imposing equipment or routines the household cannot maintain. A teaching moment is only useful if the caregiver can reproduce the skill independently after the nurse leaves. In this case, the family already owns a clean basin, so the bath can be demonstrated immediately and repeated daily without any new purchase or borrowed item. The goal is sustainability, not perfection of equipment.

Why the other options fail

Bringing a baby bathtub from the RHU creates dependency on a loaned item that will eventually be returned. Advising sponge baths only until a tub is purchased delays full hygiene care and implies the family must buy something before learning a basic skill. Postponing the lesson entirely makes the nurse’s visit less productive and leaves the mother without guidance during a critical period of infant care. All three alternatives teach a method that stops working the moment the external support disappears.

Connection to newborn home care evidence

Community-based newborn care programs consistently emphasize adapting care to the household’s actual environment. In rural and remote settings, families often lack specialized equipment, yet safe care can still be delivered using simple, locally available items. Interventions that build on what families already have are more likely to be adopted and sustained than those requiring new resources or repeated external input [1][2]. A clean basin serves the same mechanical purpose as a baby bathtub: it holds warm water at a safe depth and can be placed on a stable surface.

Applying this on the licensure exam

Questions about home visiting frequently test whether the nurse respects the family’s autonomy and resource level. The correct answer is usually the one that empowers the family to act immediately with what they own. Watch out! Options that involve lending, donating, or waiting for equipment may look helpful but violate the principle of sustainable, family-centered care. Key point! A home visit is successful when the caregiver can perform the skill correctly and independently after the nurse departs.

For a healthy 1-month-old with up-to-date immunizations, the bath lesson is a routine health-promotion task, not an emergency intervention. The nurse’s role is to demonstrate safe technique—water temperature, supporting the head and neck, drying thoroughly—using whatever container the family normally has. Teaching with the family’s own basin ensures the mother practices the exact method she will use tomorrow and every day after. This aligns with evidence that parent-support interventions are most effective when they are practical, immediate, and embedded in the home context .References (research sources)

- [1]Exploring postnatal and newborn home care experiences of rural and remote mothers in Pakistan whose neonates were admitted to the hospital: A qualitative study.Research articleKuriyama M, Nakazora M, Rahman MM, Sato M, Gillani S, Habib S, Shimpuku Y. (2026) · DOI: 10.1371/journal.pone.0339957

- [2]Integrating Indigenous Maya practices and digital health tools to improve outcomes for Indigenous newborns in Guatemala: a community-based initiative.Research articleVenzor Strader A, Castro Aragón E, Coyote E, Aguilar Ferro AI, Rohloff P. (2025) · DOI: 10.1080/16549716.2025.2565870

## 임상 시나리오

Home Visiting: Teach with What the Family HasSustainability over equipment perfection
The core principle of a home visit is to work with the family's existing resources. A teaching moment is only useful if the caregiver can reproduce the skill independently after the nurse leaves. In this case, a clean basin the family already owns allows immediate demonstration and daily repetition without any new purchase.

Community-based newborn care programs consistently emphasize adapting care to the household's actual environment. In rural and remote settings, families often lack specialized equipment, yet safe care can still be delivered using simple, locally available items. Interventions that build on what families already have are more likely to be adopted and sustained.

CautionAvoid lending equipment or postponing teaching until the family buys supplies. These approaches create dependency and teach methods that stop working the moment external support disappears.

## 핵심 개념

- **Home visiting** — A community health nursing strategy where care and teaching occur in the family's own environment using available resources
- **Sustainability** — The ability of a family to continue a health practice independently after professional support ends
- **National Immunization Program** — A public health program ensuring infants and children receive recommended vaccines on schedule
- **Rural Health Unit** — A primary care facility in the Philippines providing public health services to rural communities

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