A nurse is caring for an infant who has spina bifida.
Which of the following actions should the nurse take?
Feed the infant through an NG tube.
Place the infant in a prone position.
Cover the infant’s lesion with a dry cloth.
Perform range-of-motion (ROM) exercises to the infant’s hips.
The Correct Answer is B
Choice A rationale
Feeding an infant with spina bifida through an NG tube may not be necessary unless the child has specific feeding difficulties or other health issues. Spina bifida does not typically affect a child’s ability to eat or swallow.
Choice B rationale
Placing an infant with spina bifida in a prone position can help protect and care for the lesion on their back. It can also help prevent pressure sores and promote comfort.
Choice C rationale
Covering the infant’s lesion with a dry cloth is not typically recommended. The lesion should be kept clean and moist to promote healing and prevent infection.
Choice D rationale
While physical therapy and exercises can be beneficial for children with spina bifida, performing range-of-motion exercises to the infant’s hips may not be necessary unless specifically recommended by a healthcare provider.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
It’s not uncommon for infants to eat the same foods prepared for the rest of the family, especially if these foods are healthy and properly prepared. However, it’s important to note that certain foods may pose a choking hazard or may not be suitable for an infant’s digestive system. For example, honey should not be given to children under 1 year of age due to the risk of botulism.
Choice B rationale
The American Academy of Pediatrics recommends that infants under 12 months of age should not drink cow’s milk. Cow’s milk lacks the necessary nutrients that infants need for growth and development. It also contains high concentrations of protein and minerals, which can stress an infant’s kidneys and cause other health problems.
Choice C rationale
Drinking from a cup with a cover, also known as a sippy cup, is a normal part of an infant’s development. It helps the child transition from a bottle to a regular cup. However, it’s important to monitor the child’s use of a sippy cup as prolonged use can lead to tooth decay.
Choice D rationale
Giving an infant finger foods like apple slices is a good way to encourage self-feeding and develop fine motor skills. However, the food should be cut into small, manageable pieces to prevent choking.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale
Calculating the safe dosage is a crucial step in administering medication to a toddler. This ensures that the child receives the appropriate amount of medication based on their weight and age.
Choice B rationale
Identifying the toddler by asking the caregiver is an important step to ensure that the correct medication is given to the correct child.
Choice C rationale
Telling the caregiver to administer the medication is not recommended. As a nurse, it is your responsibility to administer the medication to ensure it is done correctly.
Choice D rationale
Offering juice after the medication can help mask any unpleasant taste and make the medication administration process more tolerable for the toddler.
Choice E rationale
Asking the toddler to pick a toy to hold during administration can serve as a distraction and make the process less stressful for the child.
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