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).
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Related Questions
Correct Answer is C
Explanation
A. Recommending a low-calorie formula would not address the issue of diarrhea. In fact, it may exacerbate it if the client is not receiving adequate nutrition.
B. Chilling the formula before administration is not likely to impact diarrhea and may not be comfortable for the client.
C. Slowing the rate of the feeding can help reduce the incidence of diarrhea by allowing the client's digestive system more time to process the nutrients, decreasing the risk of overwhelming the intestines.
D. Changing the infusion tubing every 48 hours is a routine procedure to prevent infection and is not directly related to managing diarrhea.
Correct Answer is ["50"]
Explanation
first determine the total calories from fat:
1,500 * 0.30= 450 calories from fat per day. 9 calories of fat = 1 gram
450 calories= 450*1/9
=50grams
Therefore, the client should consume 50 grams of fat per day.
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