Following surgery for pyloric stenosis, an infant should be burped well following feedings primarily to prevent:
Abdominal discomfort
Intestinal obstruction
Contaminating flatulence
Pressure on the incision line
The Correct Answer is D
A. Abdominal discomfort: While burping can help relieve some discomfort after feeding, the primary concern following pyloric stenosis surgery is avoiding pressure on the incision line, rather than just abdominal discomfort.
B. Intestinal obstruction: Burping after feedings can help reduce the buildup of air in the stomach, but it is not directly aimed at preventing intestinal obstruction. Obstruction is more related to the surgical site and healing process, not the burping.
C. Contaminating flatulence: Flatulence is not a concern related to burping after pyloric stenosis surgery. Burping is done to release air swallowed during feeding, not to manage flatulence.
D. Pressure on the incision line: Burping helps to release any air swallowed during feeding, reducing abdominal distention and minimizing pressure on the surgical site. This is important to ensure proper healing and comfort after the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Nothing feels nicer than a hot sauna after exercise": Hot saunas should be avoided during pregnancy, especially in the first trimester, as they can raise the body temperature to unsafe levels, potentially leading to dehydration, overheating, or harm to the developing fetus.
B. "The gym gets hot and stuffy by midmorning": While the temperature of the gym may be uncomfortable, it is not inherently unsafe unless the environment becomes excessively hot or poorly ventilated. The concern here would be ensuring the client avoids overheating by taking breaks and staying hydrated.
C. "I'm learning to play table tennis": Table tennis is a low-impact activity that is generally safe during pregnancy. It does not involve high-intensity or risky movements that could cause harm to the pregnant individual or the baby.
D. "I limit exercising to low-impact aerobics": Low-impact aerobics is generally considered a safe form of exercise during pregnancy, as it minimizes stress on the joints and reduces the risk of injury. This comment indicates that the client is making appropriate exercise choices.
Correct Answer is C
Explanation
A. Prevention of oral infection: While oral infection prevention is important, the main concern for a newborn with cleft lip and palate is ensuring proper nutrition. Difficulty with feeding due to the cleft requires immediate intervention to ensure adequate nourishment before surgery.
B. Visual stimulation: Visual stimulation is beneficial for infant development but is not the primary focus in preoperative care for a newborn with a cleft lip and palate. The priority is addressing feeding challenges that affect the baby’s nutritional intake.
C. Nutrition: Infants with cleft lip and palate often struggle with feeding, making proper nutrition the most critical concern. Special feeding techniques are needed to ensure the infant receives enough nourishment before surgery to promote growth and health.
D. Prevention of pneumonia: Although preventing pneumonia is essential, the immediate focus for a newborn with cleft lip and palate is ensuring adequate nutrition. Nutritional support is necessary to maintain overall health and reduce the risk of complications, including pneumonia.
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