A mother who intended to breastfeed has given birth to an infant with a cleft palate. Which nursing interventions should be included in the plan of care?
Encouraging and helping mother to breastfeed
Teaching mother to feed breast milk by gavage
Giving medication to suppress lactation
Providing mother with the appropriate formula for the patient
The Correct Answer is A
Choice A reason: Encouraging and helping mother to breastfeed is a supportive and beneficial nursing intervention for a mother who has given birth to an infant with a cleft palate. Breastfeeding provides optimal nutrition, immunity, and bonding for the infant, and may also help prevent infections and promote healing of the cleft. Breastfeeding may be possible for some infants with cleft palate, especially if the cleft is mild or only affects the soft palate. The nurse should assist the mother with positioning, latching, and using devices such as a nipple shield, a breast pump, or a supplemental nursing system. The nurse should also monitor the infant's weight gain, hydration, and output, and provide emotional support and education to the mother.
Choice B reason: Teaching mother to feed breast milk by gavage is not a necessary or desirable nursing intervention for a mother who has given birth to an infant with a cleft palate. Gavage feeding is a method of providing nutrition through a tube that is inserted through the nose or mouth into the stomach. It is usually used for infants who have severe feeding difficulties or other medical conditions that require tube feeding. However, most infants with cleft palate can be fed orally with proper techniques and equipment, and do not need gavage feeding. Gavage feeding may have complications such as infection, irritation, displacement, or obstruction of the tube. It may also interfere with the infant's oral development and bonding with the mother.
Choice C reason: Giving medication to suppress lactation is not a helpful or respectful nursing intervention for a mother who has given birth to an infant with a cleft palate. Medication to suppress lactation is a drug that inhibits the production of breast milk. It is usually used for mothers who choose not to breastfeed or who have medical contraindications to breastfeeding. However, a cleft palate is not a contraindication to breastfeeding, and the mother may still want to breastfeed or express breast milk for her infant. Giving medication to suppress lactation may cause side effects such as nausea, headache, or depression. It may also deprive the infant of the benefits of breast milk, and the mother of the choice and satisfaction of breastfeeding.
Choice D reason: Providing mother with the appropriate formula for the patient is not a sufficient or comprehensive nursing intervention for a mother who has given birth to an infant with a cleft palate. Formula is an artificial substitute for breast milk that provides nutrition for infants who cannot or do not breastfeed. Formula may be used for infants with cleft palate, especially if breastfeeding is not possible or adequate. However, formula does not provide the same immunity, protection, and bonding as breast milk. Providing formula alone does not address the mother's needs, preferences, or feelings about feeding her infant. The nurse should also offer other options, such as expressing breast milk, using a special bottle or cup, or combining breastfeeding and formula feeding. The nurse should also teach the mother how to prepare, store, and administer the formula safely and hygienically.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Clear liquids are not the best intervention for acute diarrhea and dehydration in children. Clear liquids are fluids that are transparent or translucent, such as water, broth, tea, or juice. They may provide some hydration, but they do not contain enough electrolytes (sodium, potassium, chloride) to replace the losses from diarrhea. They may also worsen diarrhea by increasing the osmotic load in the gut.
Choice B reason: Absorbents such as kaolin and pectin are not recommended for acute diarrhea and dehydration in children. Absorbents are substances that bind to toxins, bacteria, or water in the gut, and are supposed to reduce the frequency and volume of stools. However, there is no evidence that they are effective or safe for children with diarrhea. They may also interfere with the absorption of other medications or nutrients.
Choice C reason: Oral rehydration solution (ORS) is the preferred intervention for acute diarrhea and dehydration in children. ORS is a specially formulated solution that contains water, glucose, and electrolytes in the right proportions to replenish the losses from diarrhea. ORS can prevent or treat dehydration, and can also reduce the duration and severity of diarrhea. ORS is widely available, inexpensive, and easy to use. It should be given to children with diarrhea as soon as possible, and continued until the diarrhea stops.
Choice D reason: Antidiarrheal medications are not advised for acute diarrhea and dehydration in children. Antidiarrheal medications are drugs that slow down the movement of the gut, reduce the secretion of fluids, or kill the bacteria that cause diarrhea. However, they are not effective for viral diarrhea, which is the most common cause of diarrhea in children. They may also have serious side effects, such as constipation, abdominal pain, drowsiness, or allergic reactions. They may also mask the symptoms of more serious conditions, such as appendicitis or bowel obstruction.
Correct Answer is D
Explanation
Choice A reason: This is not a correct statement, as treatment for atopic dermatitis includes keeping the skin moist, not dry. Dry skin can worsen the itching and inflammation of eczema. Moisturizers, emollients, and topical steroids can help hydrate and protect the skin¹.
Choice B reason: This is not a correct statement, as there is no cure for atopic dermatitis. It is a chronic condition that can flare up and subside over time. Treatment can help control the symptoms and prevent complications, but it cannot eliminate the disease¹.
Choice C reason: This is not a correct statement, as atopic dermatitis is not directly associated with upper respiratory tract infections. However, some infants with atopic dermatitis may also have asthma or allergic rhinitis, which can increase the risk of respiratory infections².
Choice D reason: This is the correct statement, as atopic dermatitis is associated with allergy with a hereditary tendency. It is a type of hypersensitivity reaction that involves the immune system and the skin barrier. It is more common in infants who have a family history of eczema, asthma, or hay fever¹².
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