American academy of pediatrics states taht breastfeeding should be avoided for children with congenital heart disease because it requires less energy to suck from a bottle than the breast.
True
false
The Correct Answer is B
Breastfeeding is actually encouraged for infants with congenital heart disease because it provides easier digestibility, better nutrition, and helps with bonding. It also offers optimal growth and development in most cases. Bottle-feeding, on the other hand, might require more energy and can be more difficult for infants with CHD, which is why breastfeeding is often preferred when possible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Pulmonary atresia leads to little or no blood flow to the lungs, resulting in severe cyanosis if not surgically repaired.
B. PDA typically causes a left-to-right shunt and does not usually result in cyanosis unless other defects are present.
C. Transposition of the great arteries (TGA) creates parallel circulations, leading to severe cyanosis without mixing of blood.
D. Tetralogy of Fallot is a classic cyanotic heart defect, especially during "tet spells" due to right-to-left shunting.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A","dropdown-group-3":"A","dropdown-group-4":"E","dropdown-group-5":"E"}
Explanation
Based on the available test results, the nurse suspects the child may be experiencing diabetic ketoacidosis because of ketones and glucose in the urine. The nurse anticipates that the child will need IV fluid replacement and IV regular insulin as soon as possible.
Rationale:
Diabetic ketoacidosis (DKA): The presence of both glucose (over 500 mg/dL) and ketones in the urine is a key indicator of diabetic ketoacidosis (DKA). DKA is a serious complication of diabetes mellitus, particularly type 1, where the body starts breaking down fats due to a lack of insulin, resulting in the production of ketones. When ketones build up in the blood, it leads to metabolic acidosis and a variety of other complications.
Ketones: High levels of ketones in the urine indicate that the body is unable to use glucose for energy and is instead breaking down fat. This is common in DKA, where the lack of insulin leads to fat breakdown and ketone production.
Glucose: The presence of glucose in the urine (glucosuria) suggests hyperglycemia, which is another hallmark of diabetes mellitus and typically present in diabetic ketoacidosis.
Treatment:
IV fluid replacement: In DKA, dehydration is common due to excessive urination from high blood sugar. IV fluids are administered to rehydrate the body and restore normal fluid and electrolyte balance.
IV regular insulin: Regular insulin is essential to lower the blood glucose level and stop the body from producing ketones. Insulin is administered via IV to quickly bring the glucose levels under control and prevent further production of ketones.
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