A nurse is providing teaching to the parent of a newborn who has gastroesophageal reflux (GER). Which of the following instructions should the nurse include?
Dilute formula with 1 tablespoon of water.
Place the newborn in a side-lying position if vomiting.
Position the newborn at a 20-degree angle after feeding.
Provide a small feeding just before bedtime.
The Correct Answer is C
Choice A reason: Dilute formula with 1 tablespoon of water is not a correct instruction for GER. Diluting formula can reduce the nutritional value and increase the volume of the feedings, which can worsen GER symptoms and cause dehydration and malnutrition.
Choice B reason: Place the newborn in a side-lying position if vomiting is not a correct instruction for GER. This position can increase the risk of aspiration, which is the inhalation of vomit into the lungs. Aspiration can cause pneumonia, respiratory distress, and death.
Choice C reason: Position the newborn at a 20-degree angle after feeding is a correct instruction for GER. This position can help prevent reflux by using gravity to keep the stomach contents down. The newborn should be kept upright for at least 30 minutes after each feeding.
Choice D reason: Provide a small feeding just before bedtime is not a correct instruction for GER. This can increase the likelihood of reflux during sleep, as the stomach will be full and prone to regurgitation. The last feeding should be given at least 2 to 3 hours before bedtime.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Including a high-fat food with each meal is not a good strategy for managing chronic nausea during pregnancy because it can delay gastric emptying and worsen nausea and vomiting. High-fat foods should be avoided or consumed in moderation during pregnancy.
Choice B reason: Drinking 12 ounces of water with breakfast is not a good strategy for managing chronic nausea during pregnancy because it can dilute stomach acid and trigger nausea and vomiting. Water should be consumed between meals rather than with meals during pregnancy.
Choice C reason: Eating a high-carbohydrate diet is a good strategy for managing chronic nausea during pregnancy because it can provide quick energy and prevent hypoglycemia, which can cause nausea and vomiting. Carbohydrate-rich foods, such as crackers, toast, rice, and cereal, can also absorb stomach acid and reduce nausea and vomiting.
Choice D reason: Lying down for an hour after eating is not a good strategy for managing chronic nausea during pregnancy because it can cause acid reflux and worsen nausea and vomiting. It is better to sit upright or walk for a few minutes after eating during pregnancy.
Correct Answer is D
Explanation
Choice A reason:Raw carrots are not a good choice for a 9-month-old infant because they are also a choking hazard. Raw carrots are hard and crunchy, which can be difficult for the infant to chew and swallow. Raw carrots should be cooked until soft and cut into small pieces before offering to the infant.
Choice B reason: Unsalted popcorn is not a good choice for a 9-month-old infant because it poses a choking hazard. Popcorn is hard, dry, and irregularly shaped, which can easily get stuck in the infant's throat or airway. Popcorn should be avoided until the child is at least 4 years old.
Choice C reason: Skim milk is not a good choice for a 9-month-old infant because it does not provide enough fat and calories for their growth and development. Infants should drink breast milk or formula until they are at least 12 months old.
Choice D reason: Graham crackers are a good choice for a 9-month-old infant because they are soft, easy to chew, and provide carbohydrates and iron for their energy and growth. Graham crackers can be broken into small pieces and given to the infant as finger food.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today