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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While sleep apnea has been associated with SIDS, it is not considered the main cause. SIDS is a complex syndrome that is likely caused by a combination of genetic, environmental, and physiological factors.
Choice B rationale
Placing a baby on their back to sleep is one of the most effective ways to reduce the risk of SIDS. This position allows for optimal oxygenation and minimizes the risk of suffocation.
Choice C rationale
SIDS rates have actually been decreasing over the last 10 years due to increased awareness and education about safe sleep practices.
Choice D rationale
There is no evidence to suggest that the diphtheria, tetanus, and pertussis vaccines are directly correlated with SIDS. In fact, immunizations are an important part of maintaining a baby’s health and reducing the risk of serious illness. Down syndromeDown syndrome Explore
Correct Answer is ["A","B","C","D"]
Explanation
The correct answer is A, B, C, and D. After a clubfoot repair surgery, the plan of care should include observing for skin irritation, keeping the cast uncovered to allow drying, assessing the color of toes, and checking toes for capillary refill. Keeping the casted leg lowered is not recommended as it can lead to swelling.
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