A nurse is evaluating a care plan for a formula-fed newborn diagnosed with colic whose parents report increased crying and feeding difficulties. Which of the following nursing actions should the nurse implement first to address the newborn's symptoms and support the family?
Instruct the parents to provide frequent burping with every ounce of formula and to hold the infant upright for 30 minutes after feeding.
Encourage the parents to use rocking and swaddling to manage colic symptoms without the need to modify feeding techniques.
Recommend switching the infant to a soy-based formula
Advise the parents to increase the interval between feedings to reduce digestive workload on the infant.
The Correct Answer is A
A. Instruct the parents to provide frequent burping with every ounce of formula and to hold the infant upright for 30 minutes after feeding: Colic in formula-fed infants is often associated with swallowed air and gastrointestinal discomfort. Encouraging frequent burping and upright positioning after feeding helps reduce gas buildup, reflux, and discomfort, directly addressing the newborn’s symptoms.
B. Encourage the parents to use rocking and swaddling to manage colic symptoms without the need to modify feeding techniques: Soothing techniques can help comfort the infant but do not address the underlying feeding-related factors contributing to colic. They are supportive but not the first-line intervention.
C. Recommend switching the infant to a soy-based formula: Formula changes may be considered if burping and positioning are ineffective, but they should not be the first intervention without evaluating feeding practices and tolerance first.
D. Advise the parents to increase the interval between feedings to reduce digestive workload on the infant: Increasing intervals may lead to longer periods of hunger and potential feeding difficulties. Proper feeding techniques and managing gas are safer first interventions for colic symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
A. "Caregivers should come up with solutions to the child's stressors.": While caregivers provide support and guidance, school-age children benefit from learning problem-solving skills themselves, so solutions should involve the child rather than being imposed entirely by the caregiver.
B. "Children with a high self-esteem are better equipped to handle stress.": High self-esteem helps children feel capable of managing challenges, making them more resilient when facing stressors in school, social situations, or family life.
C. "Children with stress should avoid media that produces fear and anxiety.": Exposure to frightening or anxiety-inducing media can exacerbate stress, so limiting such content helps protect the child’s emotional well-being.
D. "Encourage children to participate in physical activity.": Physical activity helps reduce stress by promoting endorphin release, improving mood, and providing a healthy outlet for tension.
E. "Allow children to have some control over their life.": Giving school-age children appropriate choices fosters a sense of autonomy and competence, which reduces feelings of helplessness and enhances coping skills.
Correct Answer is A
Explanation
A. Apply cool water to the burn for up to 15 minutes, clean gently with mild soap daily, and manage pain with over-the-counter medications: For a superficial partial-thickness burn, immediate first aid with cool water reduces pain and limits tissue damage. Gentle daily cleansing and appropriate analgesia support healing and comfort.
B. Immediately administer IV fluids to prevent hypovolemia and monitor urine output: IV fluid resuscitation is necessary for extensive burns covering a significant body surface area, not for a minor superficial partial-thickness burn. Overhydration for a small burn is unnecessary and may cause complications.
C. Encourage sun exposure to the burn area to promote vitamin D synthesis and healing: Sun exposure can damage healing skin, increase the risk of scarring, and is contraindicated during acute burn recovery. Protection from ultraviolet light is recommended until the skin fully heals.
D. Prevent infection by keeping the burn clean and covered with a dry sterile dressing: While infection prevention is important, dry sterile dressings are typically used for deeper burns. Superficial partial-thickness burns benefit from gentle cleansing and sometimes moist or emollient dressings to promote epithelialization rather than solely dry coverage.
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