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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Milk is not a perfect food, as excessive intake in babies can displace iron-rich foods, causing iron-deficiency anemia. This misconception overlooks milk’s low iron content, making it the correct choice for a false statement compared to accurate causes discussed among nurses.
Choice B reason: Children struggle to get enough iron in early years due to rapid growth and limited dietary sources, a true statement. Milk as a perfect food is the misconception, making this correct and incorrect for identifying a false belief about iron-deficiency anemia in children.
Choice C reason: Economic problems contribute to malnutrition, including iron deficiency, by limiting access to nutritious foods, a valid point. The milk misconception directly misleads about dietary causes, making this accurate and incorrect compared to the false statement about milk’s role in anemia prevention.
Choice D reason: Caregivers’ lack of nutrition knowledge can lead to inadequate iron intake, a true cause of anemia. The milk statement is the misconception, as it wrongly promotes milk over iron sources, making this correct and incorrect for identifying the false belief in the discussion.
Correct Answer is C
Explanation
Choice A reason: Picking up the child without assessment risks disrupting a potentially critical condition, as quiet lying may indicate pain or altered consciousness. Checking consciousness and pain ensures safety, making this premature and incorrect compared to prioritizing a thorough evaluation of the child’s quiet state.
Choice B reason: Leaving the child in a flexed position assumes no issue without assessing consciousness or pain, which quiet behavior may mask. Evaluating the child’s status is critical, making this passive and incorrect compared to actively checking for underlying issues in the child’s quiet presentation on the bed.
Choice C reason: Checking the level of consciousness and pain scale determines if the child’s quietness indicates distress, pain, or neurological issues, ensuring appropriate care. This aligns with pediatric assessment protocols, making it the correct action to address the child’s condition lying quietly on the bed.
Choice D reason: Assuming the child is sleeping on the parent’s lap is incorrect, as the child is on the bed, and quietness may indicate distress. Assessing consciousness and pain is essential, making this inaccurate and incorrect compared to evaluating the child’s true condition in this scenario.
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