A newborn, who has had gastroschisis repair, is transferred to the pediatric unit after spending several days in the pediatric intensive care unit.
The infant is on parenteral nutrition and continuous enteral feedings.
What action should the nurse include in the plan of care to promote the infant’s normal growth and development?
Discuss with the healthcare provider about starting physical therapy
Offer a pacifier for non-nutritive sucking
Confirm placement of the enteral tube with an abdominal x-ray
Use sterile technique during feedings .
The Correct Answer is B
Choice A rationale
While physical therapy can be beneficial for many pediatric patients, it may not be the most appropriate intervention for a newborn who has had gastroschisis repair and is on parenteral nutrition and continuous enteral feedings. The focus at this stage should be on promoting normal growth and development, and physical therapy may not directly contribute to this goal.
Choice B rationale
Offering a pacifier for non-nutritive sucking can be an effective strategy to promote normal growth and development in infants who have had gastroschisis repair. Non-nutritive sucking can help stimulate the sucking reflex, which is important for feeding and growth. Therefore, the nurse should include this action in the plan of care.
Choice C rationale
Confirming the placement of the enteral tube with an abdominal x-ray is an important part of care for infants on continuous enteral feedings. However, this action is more related to ensuring the safety and effectiveness of the feeding process rather than promoting the infant’s normal growth and development.
Choice D rationale
Using sterile technique during feedings is a standard practice to prevent infection, especially in infants who are on parenteral nutrition and continuous enteral feedings. However, this action does not directly promote the infant’s normal growth and development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While placing a toy in the child’s hands might distract the child during the assessment, it does not actively involve the child in the process or help them understand what is happening.
Choice B rationale
Allowing the child to use a stethoscope on a stuffed animal can help the child understand what is happening and feel more comfortable with the procedure. This technique is often used to ensure the cooperation of a preschooler during an assessment of lung sounds.
Choice C rationale
Offering the child bubbles before the stethoscope is placed might distract the child, but it does not directly involve them in the procedure or help them understand what is happening.
Choice D rationale
Having the child blow a cotton ball and having the parent catch it might distract the child, but it does not directly involve them in the procedure or help them understand what is happening.
Correct Answer is C
Explanation
Choice A rationale
Recognizing most letters and numbers is a skill typically developed around the age of 4 or 5, not at 3 years old.
Choice B rationale
Using 1-word sentences is a milestone typically reached by the age of 2. By 3 years old, children are usually able to speak in simple sentences with four or more words.
Choice C rationale
Speaking in simple sentences with four or more words is a typical language skill for a 3-year-old child.
Choice D rationale
Using gestures with 1 to 2-word sentences is a milestone typically reached by the age of 2. By 3 years old, children are usually able to speak in simple sentences with four or more words.
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