The nurse is caring for a 2-month-old with a cleft palate. The child will undergo corrective surgery at age 3 months. The mother would like to continue breastfeeding the baby after surgery and wonders if it is possible. How should the nurse respond?
"There is a good chance that you will be able to breastfeed almost immediately.”
"Breastfeeding is likely to be possible, but check with the surgeon."
“After the suture line heals, breastfeeding can resume."
"We will have to wait and see what happens after the surgery."
The Correct Answer is C
A. "There is a good chance that you will be able to breastfeed almost immediately": Immediately after cleft palate repair, the surgical site is delicate, and direct breastfeeding can place stress on the suture line, increasing the risk of bleeding or wound dehiscence, making early feeding unsafe.
B. "Breastfeeding is likely to be possible, but check with the surgeon": While consulting the surgeon is important, this response does not provide clear guidance regarding the timing of safe feeding and may leave the parent uncertain about postoperative care.
C. "After the suture line heals, breastfeeding can resume": Once the cleft palate repair has sufficiently healed, usually within 1–2 weeks depending on the surgeon’s instructions, breastfeeding can typically be resumed. This approach protects the integrity of the surgical site while supporting the continuation of maternal-infant bonding and nutrition.
D. "We will have to wait and see what happens after the surgery": This response is vague and does not offer concrete guidance or timelines, potentially increasing parental anxiety. Clear postoperative feeding instructions help ensure both wound safety and adequate nutrition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Determine the child’s preferred method of communication: Identifying whether the child uses sign language, lip reading, gestures, or assistive devices is essential for effective communication. Tailoring interactions to the child’s preferred method promotes language development, social interaction, and learning opportunities.
B. Assess the child’s hearing and visual capabilities: While important for overall assessment, these evaluations provide baseline data but do not directly facilitate immediate communication strategies or support language development.
C. Encourage the parent to have the child participate in activities that promote adaptation: Participation in adaptive activities supports social and emotional growth, yet without knowing the child’s preferred communication method, these interactions may be less effective for promoting language and communication skills.
D. Serve meals at the child’s usual mealtimes: Maintaining routine mealtimes supports predictability and general care, but it does not directly address communication development or language acquisition.
Correct Answer is B
Explanation
A. September 17th, 2017: Calculating EDD by subtracting three months from the LMP and adding seven days would place the date earlier than the accurate estimate. This does not account correctly for the standard adjustment used in Nägele’s Rule.
B. September 24th, 2017: Nägele’s Rule estimates the EDD by taking the first day of the last menstrual period, subtracting three months, and adding seven days. Starting from December 17th, 2016, subtracting three months gives September 17th, 2016, then adding seven days results in September 24th, 2017, providing the correct estimated delivery date.
C. October 10th, 2016: This date is inconsistent with gestational length calculations. It falls too early relative to the standard 280-day pregnancy duration and does not follow Nägele’s Rule calculations.
D. October 24th, 2017: This date overestimates gestation length by approximately one month. Adding seven days to the correct calculation places the EDD in late September rather than late October, making it inaccurate according to standard obstetric estimation.
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