The nurse is assessing the bottle-feeding technique of a new family. Which behaviour by the parents requires further teaching?

Feeding the baby while lying in the bassinet

Periodically pausing the feeding

Discarding the remaining milk after one hour

Holding the baby upright during feedings

Answer and Explanation

The Correct Answer is A

Choice A reason: Feeding the baby while lying in the bassinet can pose a significant risk of choking and improper feeding technique. Babies should be fed while being held in an upright or semi-upright position to ensure proper swallowing and to prevent aspiration of milk into their airways. This practice promotes bonding between the caregiver and the baby and supports the baby’s overall feeding development. Therefore, further teaching is required for parents who feed their baby while the baby is lying in the bassinet.

Choice B reason: Periodically pausing the feeding is actually a recommended practice as it allows the baby to burp and prevents overfeeding. It also gives the baby a break to catch their breath and reset their sucking pattern. This technique can reduce the risk of discomfort and gas. Hence, this behaviour does not require further teaching.

Choice C reason: Discarding the remaining milk after one hour is a proper practice because milk can spoil and become contaminated with bacteria, leading to potential health risks for the baby if consumed. It is important to ensure that the baby is fed with fresh milk to avoid any health issues. Therefore, this behaviour does not require further teaching.

Choice D reason: Holding the baby upright during feedings is a correct and recommended practice. This position helps to prevent ear infections, reduces the risk of choking, and promotes better digestion. It ensures that the milk flows steadily and safely into the baby's mouth, aiding in a more efficient feeding process. Thus, this behaviour does not require further teaching.

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Correct Answer is A

Explanation

Choice A reason: Salmeterol, a long-acting beta-agonist (LABA), is generally not recommended for use during pregnancy due to potential risks to the fetes. It is typically avoided unless absolutely necessary and other safer options are not effective.

Choice B reason: Prednisone is a corticosteroid that can be used during pregnancy when necessary. It is often prescribed for managing severe asthma symptoms, but it should be used under close medical supervision to minimize potential risks.

Choice C reason: Ibuterol is a short-acting beta-agonist (SABA) and is generally considered safe for use during pregnancy. It is commonly used as a rescue inhaler to relieve acute asthma symptoms.

Choice D reason: The text for option D is incomplete and does not provide sufficient information to determine its relevance to the question.

A. The child will have intellectual delays. B. Cerebral palsy is a genetic disorder. C. The child will have a shortened lifespan. D. This is a non-progressive disorder.

Correct Answer is D

Explanation

Choice A reason: While some children with cerebral palsy may have intellectual delays, it is not accurate to generalize this condition as affecting all children with cerebral palsy. The extent of intellectual involvement can vary widely. Therefore, stating this as a definite teaching point may not be appropriate for every child.

Choice B reason: Cerebral palsy is not typically considered a genetic disorder. It is most commonly caused by damage to the developing brain either during pregnancy, childbirth, or shortly after birth. Factors that contribute to cerebral palsy can include infections, lack of oxygen, and traumatic injuries, but it is not primarily a genetic condition.

Choice C reason: While cerebral palsy can impact a child's overall health and development, stating that it will shorten the child's lifespan is not necessarily true. Many individuals with cerebral palsy live into adulthood, and lifespan can vary widely depending on the severity of the condition and the presence of associated health issues.

Choice D reason: Cerebral palsy is accurately described as a non-progressive disorder. This means that while the symptoms of cerebral palsy can change over time (due to growth, development, and other factors), the underlying brain injury does not worsen. Understanding that cerebral palsy is non-progressive can help parents focus on managing symptoms and improving their child's quality of life.

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The nurse is assessing the bottle-feeding technique of a new family. Which behaviour by the parents requires further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is D

Explanation

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