A newborn infant with a tracheoesophageal repair is receiving gastrostomy (GT) feedings postoperatively. Which intervention should the practical nurse (PN) implement during the GT feedings?
Burp the infant after every 10 mL of formula and re-feed any volume that is spit up.
Place the infant in the right lateral position to facilitate gastric emptying.
Offer a pacifier during the feedings to satiate the sucking reflex associated with feedings.
Flush the GT with 50 mL water and clamp the GT to prevent leakage.
The Correct Answer is C
During gastrostomy (GT) feedings for a newborn infant with a tracheo-esophageal repair, the practical nurse (PN) should offer a pacifier to satiate the sucking reflex associated with feedings. Sucking is a natural reflex for infants and providing a pacifier during feedings can help satisfy this need and promote comfort. The other interventions listed may also be important to implement during GT feedings, but offering a pacifier to satiate the sucking reflex is the most appropriate intervention in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Amniocentesis is a prenatal test that can diagnose genetic disorders and other health issues in a fetus. A provider uses a needle to remove a small amount of amniotic fluid from inside your uterus, and then a lab tests the sample for specific conditions². It is important to empty your urinary bladder prior to the procedure ².
Correct Answer is C
Explanation
A positive indirect Coombs' test indicates that the mother has developed Rh antibodies against the baby's Rh-positive blood. This finding can result in hemolytic disease of the newborn, which is a condition in which the mother's Rh antibodies atack the baby's red blood cells, causing destruction and potential anemia.
The baby may require phototherapy for physiologic jaundice, but the Coombs' test result indicates a different issue.
The presence of an infectious blood-borne disease cannot be determined from this test.
The mother may still need Rho (D) immune globulin injections after delivery of an Rh-positive baby.
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