The client is a 4-month-old female with a history of gastroesophageal reflux (GERD). Client had fundoplication surgery and will be hospitalized for several days of recovery.
Based on the FLACC score and the client's developmental level, mark which nurse actions would be appropriate, and which would not be appropriate.
Each row must have one option selected.
Perform guided imagery.
Have one of the parents hold the baby.
Encourage the baby's mother to breastfeed the baby.
Request a prescription for an anti-inflammatory drug.
The Correct Answer is C
The client is a 4-month-old female with a history of gastroesophageal reflux (GERD). Client had fundoplication surgery and will be hospitalized for several days of recovery.
Based on the FLACC score and the client's developmental level, mark which nurse actions would be appropriate, and which would not be appropriate.
Each row must have one option selected.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Giving zidovudine 6 to 12 hours after birth is crucial as it helps prevent mother-to-child transmission of HIV. Early administration of antiretroviral medication reduces the risk of the newborn acquiring HIV significantly.
Choice B rationale
Administering antibiotics for 7 to 10 days is not standard practice for newborns of HIV-positive mothers unless there is an indication of infection. The primary intervention is antiretroviral therapy.
Choice C rationale
Delaying the initial bath for 1 to 2 days is not standard practice for preventing HIV transmission. It is important to bathe the newborn shortly after birth to remove any potential HIV-containing fluids.
Choice D rationale
Encouraging breastfeeding every 2 to 3 hours is not advised for HIV-positive mothers as HIV can be transmitted through breast milk. Alternatives such as formula feeding are recommended to prevent transmission. .
Correct Answer is C
Explanation
Choice A rationale
The ointment used in newborns does not dilate the pupil. It is not intended to aid in the visualization of the red reflex. The red reflex can be observed without the need for any ointment.
Choice B rationale
The ointment does not prevent herpes infections. It is specifically used to prevent bacterial eye infections caused by organisms such as Neisseria gonorrhoeae and Chlamydia trachomatis, which can be present in the birth canal.
Choice C rationale
The ointment will prevent eye infections. This is the correct explanation. The eye ointment, typically erythromycin or tetracycline, is applied to prevent ophthalmia neonatorum, a type of conjunctivitis caused by bacteria that the newborn might be exposed to during delivery.
Choice D rationale
The ointment will not clear the infant's vision. Newborns naturally have somewhat blurry vision at birth, and the ointment does not enhance or clear their vision. Its primary purpose is to prevent bacterial infections.
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