A nurse is providing teaching to the parent of a newborn who has gastroesophageal reflux.
Which of the following instructions should the nurse include?
"Dilute formula with 1 tablespoon of water."
"Position the newborn at a 20-degree angle after feeding."
"Provide a small feeding just before bedtime."
Place the newborn in a side-lying position if vomiting."
The Correct Answer is B
A. Diluting formula with water can decrease the calorie and nutrient content of the formula and is not typically recommended for infants with gastroesophageal reflux.
B. Positioning the newborn at a 20-degree angle after feeding can help reduce gastroesophageal reflux by allowing gravity to assist in keeping stomach contents down.
C. Providing a small feeding just before bedtime may increase the risk of gastroesophageal reflux and should be avoided.
D. Placing the newborn in a side-lying position if vomiting is not recommended due to the risk of aspiration. Infants should be placed on their back to sleep to reduce the risk of sudden infant
death syndrome (SIDS).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Legumes are plant-based sources of protein, but they are not considered complete proteins as they do not contain all essential amino acids in sufficient quantities.
B. Almonds are also a plant-based source of protein, but like legumes, they are not considered complete proteins.
C. Salmon is a complete protein because it contains all essential amino acids in sufficient quantities.
D. Gelatin is derived from collagen and is not a complete protein because it lacks certain essential amino acids.
Correct Answer is A
Explanation
A. A hoarse voice can indicate difficulty swallowing or dysphagia, as aspiration of food or liquid into the airway can cause irritation and inflammation of the vocal cords.
B. Expressive aphasia is a language disorder characterized by difficulty expressing language verbally or in writing and is not directly related to dysphagia.
C. Continuous smiling is not typically associated with dysphagia and may indicate a different neurological or psychological issue.
D. Weight gain is not a direct manifestation of dysphagia but may occur due to other factors such as decreased mobility or changes in dietary habits.
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