A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Warm the goat's milk before feeding.
Switch to soy milk.
Offer commercially prepared formula.
Reinitiate breast feeding.
The Correct Answer is C
A. Warming goat's milk before feeding does not address the issue of nutritional adequacy or the potential allergenicity of goat's milk.
B. Soy milk may not be suitable for infants under 12 months old due to potential allergenicity and nutritional concerns.
C. Commercially prepared infant formula is the most appropriate option for infants who are having difficulty with breastfeeding or require an alternative to breast milk.
D. Reinitiating breastfeeding may not be feasible or appropriate if the infant is already having difficulty eating.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Allowing the infant to cry before feeding increases energy expenditure and may worsen fatigue in infants with heart failure.
B. A recumbent position can increase the risk of aspiration; a semi-upright position is preferred.
C. Implementing a 3-hour feeding schedule ensures the infant receives adequate nutrition without excessive fatigue.
D. Feedings should be limited to 30 minutes to prevent excessive energy expenditure.
Correct Answer is D
Explanation
A. A heart rate of 54/min is within the normal range for a 5-year-old child and does not specifically indicate hemorrhage.
B. Flushing of the face is not a direct indicator of hemorrhage.
C. A blood pressure of 95/56 mm Hg may be within the normal range for a 5-year-old child and does not specifically indicate hemorrhage.
D. Continuous swallowing can indicate bleeding in the postoperative period following a tonsillectomy and adenoidectomy, as blood may be pooling in the throat and swallowed rather than expectorated.
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