A nurse is caring for a 3-month-old infant who has a cleft of the soft palate.
Which of the following actions should the nurse take?
Discontinue feeding if the infant's eyes become watery.
Postpone burping the infant until after completing each feeding.
Elevate the infant's head to a 10° angle during feedings.
Feed the infant 177.4 mL (6 oz) of formula three times each day.
Feed the infant 177.4 mL (6 oz) of formula three times each day.
The Correct Answer is C
The correct answer is choice C. Elevate the infant’s head to a 10° angle during feedings.
This position can help prevent milk from coming out of the infant’s nose and reduce the risk of choking.
Choice A is wrong because watery eyes are not an indication to discontinue feeding.
Choice B is wrong because babies with cleft palate should be burped more frequently, but not so often as to interrupt good feeding behaviors.
Choice D is wrong because the amount of formula an infant needs varies and should be determined by a pediatrician.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should first implement droplet precautions for the child.
Bacterial meningitis can be spread through respiratory and throat secretions, so it is important to take precautions to prevent the spread of infection.
Choice A is wrong because while a lumbar puncture may be necessary for diagnosis, preventing the spread of infection is a higher priority.
Choice C is wrong because while dimming the lights may provide comfort, preventing the spread of infection is a higher priority.
Choice D is wrong because while administering an antipyretic may provide comfort, preventing the spread of infection is a higher priority.
Correct Answer is A
Explanation
After an arterial cardiac catheterization, the patient will need to keep their leg straight for several hours following the procedure to prevent bleeding from the catheter insertion site.
Choice B is wrong because droplet isolation precautions are not necessary after an arterial cardiac catheterization.
Choice C is wrong because assisting the child into a supine position may not be necessary and could be uncomfortable for the child.
Choice D is wrong because checking oxygen saturation every 4 hours may not be frequent enough for a child who has undergone an arterial cardiaccatheterization and may require more frequent monitoring of oxygen saturation.
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