A client with a newborn diagnosed with congenital heart disease asks the nurse about the baby's feeding patterns. What should the nurse explain about feeding difficulties in infants with heart defects?
"Infants with congenital heart diseases typically have increased appetite and consume larger volumes of formula or breast milk."
"Feeding difficulties in infants with heart defects are uncommon and usually resolve on their own within a few weeks."
"Many infants with congenital heart diseases experience fatigue and may have difficulty feeding, leading to poor weight gain."
"Heart defects have no impact on feeding patterns, and your baby's feeding will be normal."
The Correct Answer is C
A) This option is incorrect. Infants with congenital heart diseases may have feeding difficulties due to fatigue and inadequate oxygenation, which can affect their appetite and feeding patterns.
B) This option is incorrect. Feeding difficulties in infants with heart defects are common due to their increased energy expenditure and compromised cardiovascular function. These difficulties may require appropriate interventions and ongoing support.
C) Correct answer. Many infants with congenital heart diseases experience fatigue and increased energy expenditure due to their heart's extra workload. This can lead to feeding difficulties, inadequate weight gain, and slower growth.
D) This option is incorrect. Congenital heart diseases can significantly impact feeding patterns in infants, and special attention is required to support their nutritional needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This option is incorrect. While some individuals with congenital heart diseases may remain asymptomatic, others can experience symptoms depending on the type and severity of the condition.
B) This option is incorrect. Congenital heart diseases are present from birth, and symptoms may manifest shortly after birth or during infancy, childhood, or adolescence.
C) Correct answer. Common symptoms of congenital heart diseases can include cyanosis (bluish discoloration of the skin or lips due to poor oxygenation), fatigue, and shortness of breath. These symptoms may arise due to poor blood circulation and oxygenation.
D) This option is incorrect. Congenital heart diseases do not typically present with mild cold-like symptoms and fever. These are more indicative of common respiratory infections, unrelated to heart conditions.
Correct Answer is A
Explanation
A) The answer is A. Monitoring urine output closely is essential postoperatively to assess kidney perfusion and fluid balance, as infants are at risk of fluid shifts after cardiac surgery.
B) Incorrect. While administering prescribed analgesics is important for postoperative pain management, it is not the priority intervention among the options provided.
C) Incorrect. Encouraging deep breathing and coughing exercises is important to prevent respiratory complications, but it is not the priority intervention immediately after cardiac surgery.
D) Incorrect. Elevating the head of the bed can help with respiratory effort, but it is not the priority intervention. Monitoring urine output and fluid balance is more critical in the early postoperative period.
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