The nurse is caring for an infant immediately after pyloromyotomy surgery has been performed to treat pyloric stenosis. The infant’s parents are understandably anxious about their child. Given the situation, what is the most appropriate way for the nurse to position the infant during the anesthesia recovery period?

Place the infant on the back.

Support the infant and place them on their side.

Lay the infant on their stomach.

Allow the parents to hold their infant.

Answer and Explanation

The Correct Answer is B

Choice A reason: Placing the infant on the back post-pyloromyotomy risks aspiration during anesthesia recovery, as vomiting is common with pyloric stenosis. Side-lying positioning ensures airway protection, making this unsafe and incorrect for managing the infant’s recovery period effectively after this surgical procedure.

Choice B reason: Positioning the infant on their side with support prevents aspiration and maintains airway patency post-pyloromyotomy, addressing vomiting risks from pyloric stenosis. This aligns with postoperative pediatric nursing standards, making it the most appropriate position during anesthesia recovery for the infant.

Choice C reason: Laying the infant on the stomach is unsafe post-surgery, increasing aspiration and pressure on the surgical site. Side-lying positioning protects the airway and incision, making this incorrect for the infant’s recovery period following pyloromyotomy for pyloric stenosis in the hospital setting.

Choice D reason: Allowing parents to hold the infant may comfort but risks disrupting surgical recovery or airway management during anesthesia effects. Side-lying positioning ensures safety, making this less controlled and incorrect for the immediate postoperative period in this surgical context for the infant.

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Correct Answer is A

Explanation

Choice A reason: The vastus lateralis is the preferred site for IM injections in infants, as it is well-developed, has minimal nerves and vessels, and accommodates safe volumes. This aligns with pediatric nursing injection guidelines, making it the best choice for a 3-month-old receiving an antibiotic intramuscularly.

Choice B reason: The deltoid muscle is underdeveloped in a 3-month-old, with insufficient muscle mass for safe IM injections. The vastus lateralis is safer and more developed, making this incorrect, as the deltoid risks injury or inadequate drug absorption in infants receiving intramuscular injections.

Choice C reason: The dorsogluteal muscle is avoided in infants due to proximity to the sciatic nerve and underdeveloped gluteal mass, risking nerve damage. The vastus lateralis is safer, making this incorrect for a 3-month-old, as it poses significant safety concerns for IM antibiotic injections.

Choice D reason: The ventrogluteal muscle is safe in older children but less accessible in infants due to small muscle mass and positioning challenges. The vastus lateralis is preferred for its accessibility and safety, making this incorrect for a 3-month-old’s IM antibiotic injection in clinical practice.

A. “Try having her eat with the family and she will want what others are eating.” B. “It is important that each time she eats, she has a variety of foods.” C. “Food jags are common in this age. This probably won’t last long.” D. “She should be discouraged from having food likes or dislikes. Have her eat everything.”

Correct Answer is C

Explanation

Choice A reason: Eating with family may encourage variety but does not address the normalcy of food jags in 6-year-olds. Reassuring about their transient nature reduces caregiver stress, making this less direct and incorrect compared to normalizing the child’s selective eating behavior for the concerned caregiver.

Choice B reason: Insisting on variety at every meal may escalate mealtime stress, as food jags are normal and temporary in 6-year-olds. Acknowledging their common occurrence is more supportive, making this pressuring and incorrect for addressing the caregiver’s nutritional concern about the child’s eating habits.

Choice C reason: Food jags, where a child fixates on one food, are common at age 6 and typically resolve naturally. Reassuring the caregiver reduces anxiety and aligns with pediatric nutrition guidance, making this the prioritized response to address concerns about the child’s nutrition and eating patterns.

Choice D reason: Discouraging food preferences risks mealtime conflicts, as food jags are developmentally normal. Normalizing their temporary nature supports the caregiver without forcing the child, making this unhelpful and incorrect compared to reassuring about the common, transient behavior in 6-year-olds.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering an intramuscular injection of an antibiotic to a 3-month-old infant. Which would be the best site for the nurse to give this medication?

Correct Answer is A

Explanation

The caregiver of a 6-year-old is concerned the child is not getting proper nutrition because on some days, the child will only eat one type of food. Which response should the nurse prioritize for this caregiver?

Correct Answer is C

Explanation

The pediatric nurse recognizes that what statement is true regarding medications administered via the intravenous route?

A first-time mother calls the pediatrician’s office to ask the nurse about her baby’s tooth eruption. The baby is 8 months old and still does not have any teeth. What information can the nurse share with this mother that would correctly respond to her anxiety about her baby’s dentition?

A nurse is discussing post-procedure interventions with new pediatric nurses. Which statement addresses the most immediate safety action required?

The nurse is discussing types of treatment used when working with children who have orthopedic disorders. Which form of treatment covers the lower part of the body, usually from the waist down, and either one or both legs while leaving the feet open?

The nurse is assessing a teenage client and notes his lower front teeth are slightly crossed over. The nurse points out to his caregiver that he should see an orthodontist about this to prevent which potential situation?