A 1-month-old infant is diagnosed with gastroesophageal reflux. Which intervention should the nurse teach the mother to help with the symptoms of this disorder?
Place on the back immediately after feeding
Administer prescribed medications before each feeding
Feed with formula thickened with rice cereal
Hold in a horizontal position while feeding
The Correct Answer is C
A. Place on the back immediately after feeding: The infant should always be placed on their back to sleep, but placing the infant on the back immediately after feeding may worsen gastroesophageal reflux (GER). The infant should be kept upright for at least 30 minutes after feeding to help reduce reflux.
B. Administer prescribed medications before each feeding: While medications may be prescribed for gastroesophageal reflux, they should be administered according to the healthcare provider's specific instructions, which may vary.
C. Feed with formula thickened with rice cereal: Thickening the formula with rice cereal is a common intervention to help reduce the symptoms of gastroesophageal reflux. The thicker consistency can reduce the likelihood of reflux by decreasing the flow of milk back into the esophagus.
D. Hold in a horizontal position while feeding: Holding an infant in a horizontal position during feeding can worsen GER symptoms. The infant should be held in a more upright position while feeding to reduce reflux.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. FLACC: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for assessing pain in infants and young children who are unable to communicate their pain. It is based on observing physical and behavioral indicators of pain.
B. Symptom log: A symptom log is a tool typically used by older children or adults to track symptoms over time. It is not suitable for assessing pain in infants, as they cannot self-report or track symptoms.
C. Oucher: The Oucher scale is designed for children aged 3-12 years who are able to understand and use the scale, which involves comparing pain intensity to pictures of facial expressions. It is not suitable for infants.
D. FACES: The FACES pain scale is typically used for older children who can point to or choose a facial expression to indicate their pain level. Infants are too young to use this scale effectively.
Correct Answer is D
Explanation
A. Parents plan to have the child receive needed immunizations within a year: Waiting a year to vaccinate is not ideal. Immunizations should be given according to the recommended schedule to ensure timely protection against preventable diseases.
B. Primary care physician changed the appointment for immunizations to another day in a month: Although rescheduling may happen, effective education would result in adherence to the schedule without unnecessary delays.
C. Child began to cry during an immunization, and the decision was made to try again later: The goal is for the child to receive the immunizations on time. Delaying immunizations due to crying reflects a potential lack of preparedness or understanding by the parents.
D. Child has all immunizations up-to-date: This outcome demonstrates that the parents understand the importance of following the immunization schedule and have followed through with it. Keeping the child’s immunizations up-to-date indicates that the nurse’s instructions were effective in ensuring timely protection.
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