A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?
Give the infant a bottle immediately before the infant's bedtime.
Change the infant's formula to a soy-based formula.
Keep the infant at a 30° angle for 1 hr following each feeding.
Limit the infant's formula feedings to every 6 hr.
The Correct Answer is C
Choice A reason:
Giving the infant a bottle immediately before bedtime can actually exacerbate gastroesophageal reflux, as lying down right after feeding can increase the likelihood of regurgitation.
Choice B reason:
Switching to a soy-based formula is not the first-line intervention for gastroesophageal reflux. Additionally, soy-based formulas are not recommended for all infants and should be used under specific circumstances.
Choice C reason:
This statement is correct. Keeping the infant at a 30° angle for 1 hour following each feeding can help reduce the likelihood of gastroesophageal reflux. This position helps gravity keep the stomach contents from flowing back up into the esophagus.
Choice D reason:
Limiting formula feedings to every 6 hours may not be appropriate for a 2-month-old infant, as they typically require more frequent feedings for proper growth and development.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Hopscotch requires a level of coordination and balance that may be challenging for a 2-year-old toddler.
Choice B reason:
Finger painting is a creative and age-appropriate activity for a 2-year-old. It allows them to explore colors and textures while developing fine motor skills.
Choice C reason:
Beginner sports may involve activities that are too complex for a 2-year-old to fully understand and participate in.
Choice D reason:
A 30-piece puzzle may be too advanced for a 2-year-old. They may have difficulty manipulating the small pieces and understanding the concept of assembling the puzzle.
Correct Answer is A
Explanation
Choice A reason:
Children with cystic fibrosis often have increased calorie needs due to the extra energy required to breathe and the malabsorption of nutrients. A diet that is high in both protein and calories
helps meet these increased energy needs.
Choice B reason:
While a higher fat intake may be beneficial for some children with cystic fibrosis, it should not be at the expense of protein intake, which is also crucial for growth and development.
Choice C reason:
A diet that is low in both protein and calories would not be appropriate for a child with cystic fibrosis, as it may not provide sufficient energy and nutrients to support growth and
development.
Choice D reason:
A diet that is low in carbohydrates and high in fat is not typically recommended for children with cystic fibrosis. They need a balanced diet that includes a variety of macronutrients to meet their
increased energy needs.
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