Parents of a newborn who was diagnosed with Tetralogy of Fallot with pulmonary atresia are preparing to discharge home. The nurse is developing a teaching sheet regarding care of the newborn for the parents. Which information does the nurse need to include in the teaching plan?
The neonate has natural immunity to infections.
No secondary complications are expected.
It is important to maintain caloric intake.
There is no need to limit activities.
The Correct Answer is C
A. Newborns do not have natural immunity to infections, and protection through immunizations is important.
B. Secondary complications such as cyanosis and growth failure are possible.
C. Newborns with Tetralogy of Fallot with pulmonary atresia often have feeding difficulties and require extra caloric intake to meet their nutritional needs.
D. Activity levels should be limited to prevent excess strain on the heart, especially with congenital heart defects like Tetralogy of Fallot.
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Related Questions
Correct Answer is C
Explanation
A. Allowing the infant to take too much time to finish a bottle could lead to fatigue, which may worsen heart failure symptoms.
B. Feeding on a strict 4-hour schedule may not meet the infant’s needs, as infants with heart failure often require more frequent, smaller feedings to prevent fatigue.
C. Adding a caloric fortifier to the infant's bottles is recommended to ensure the infant receives adequate nutrition, especially in the case of heart failure where energy needs are higher.
D. Limiting crying before feeding is not typically a focus in heart failure management; feeding frequency and caloric intake are more critical.
Correct Answer is D
Explanation
A. Rear-facing seats should never be placed in the front seat due to airbag risk.
B. The harness should be snug, with no more than a finger's width allowed.
C. Infants under 1 year should not be placed in a front-facing seat.
D. Rear-facing infant car seats should be securely anchored in the back seat, ensuring safety during travel.
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