The nurse is caring for infants with the following conditions. Which infants would be at risk for failure to thrive? Select all that apply.

An infant born to a diabetic parent.

An infant born to a low-income parent.

An infant with a cleft palate.

An infant born to a teenage parent.

An infant with tetralogy of Fallot.

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A reason: Infants born to diabetic parents are at risk for failure to thrive due to potential complications during pregnancy, such as poor blood glucose control, which can affect fatal growth and development. Additionally, these infants may experience issues such as hypoglycaemia after birth, requiring careful monitoring and management. Furthermore, the long-term impact of maternal diabetes on the infant's metabolic health can contribute to growth concerns, emphasizing the need for diligent care and follow-up.

Choice B reason: Infants born to low-income parents are at risk for failure to thrive due to socioeconomic factors that can impact their growth and development. Low-income families may face challenges in accessing adequate nutrition, healthcare, and safe living conditions, all of which are critical for the healthy growth of infants. Additionally, stress and limited resources can affect parenting practices, potentially leading to inadequate stimulation and care, further contributing to the risk of growth and developmental delays.

Choice C reason: An infant with a cleft palate is at risk for failure to thrive because feeding difficulties are common in these cases. A cleft palate can affect an infant's ability to suck and swallow properly, leading to inadequate nutrient intake and growth issues. Proper feeding techniques and medical interventions are necessary to support these infants. Moreover, frequent respiratory infections and other complications associated with cleft palate can impact overall health and growth, necessitating comprehensive care and monitoring.

Choice D reason: Infants born to teenage parents may be at risk for failure to thrive due to various factors, including the potential lack of experience, resources, and social support for the young parents. Teenage parents may face difficulties in providing consistent and adequate care, which can impact the infant's growth and development. Additionally, teenage parents may struggle with their own developmental challenges, such as completing education and securing employment, which can affect their ability to provide a stable and nurturing environment for their child.

Choice E reason: An infant with tetralogy of Fallot, a congenital heart defect, is at risk for failure to thrive due to the potential impact on the infant's overall health and energy levels. Infants with this condition may have difficulty feeding and gaining weight due to the increased energy expenditure required to compensate for their heart condition. They may also require surgical interventions and ongoing medical care, which can further impact growth and development. The need for specialized care and monitoring underscores the importance of addressing the unique challenges faced by these infants.

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Correct Answer is C

Explanation

Choice A reason: Waiting until the urge to push before going to the hospital is not advisable. If the water has broken, it indicates that Labor may be starting, and the pregnant person should be evaluated to ensure the safety of both the parent and the baby.

Choice B reason: Waiting for contractions to start before calling back is not recommended. If the water has broken, there is a risk of infection and other complications, so immediate evaluation is necessary.

Choice C reason: Coming to the Labor and delivery unit for an evaluation is the correct response. When the water breaks, it is important to assess the mother and baby to determine the next steps and ensure that both are healthy and safe.

Choice D reason: Drinking water and lying down is not an appropriate response to the water breaking. While staying hydrated is important during pregnancy, the priority should be to seek immediate medical evaluation.

A. Oral suspension. B. Intravenous infusion. C. Subcutaneous injection. D. Intramuscular injection.

Correct Answer is D

Explanation

Choice A reason: Oral suspension is not an appropriate method for administering botulinum toxin. This medication is not effective when taken orally and needs to be administered directly into the muscle to address spasticity.

Choice B reason: Intravenous infusion is also not the appropriate method for administering botulinum toxin. The medication is intended to act locally at the site of injection to reduce muscle spasticity, and intravenous administration would not achieve the desired localized effect.

Choice C reason: Subcutaneous injection is not the correct method for administering botulinum toxin. This medication needs to be injected directly into the muscle to have a therapeutic effect on muscle spasticity.

Choice D reason: Intramuscular injection is the correct method for administering botulinum toxin. The medication works by blocking the release of acetylcholine at the neuromuscular junction, thereby reducing muscle spasticity. Administering it directly into the muscle ensures that the medication reaches its target and provides the desired therapeutic effect.

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The nurse is caring for infants with the following conditions. Which infants would be at risk for failure to thrive? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pregnant person telephones the prenatal clinic and reports that their "water just broke." How will the nurse respond?

Correct Answer is C

Explanation

The nurse is preparing to administer botulinum toxin to a child with spastic cerebral palsy. How will the nurse administer this medication?

Correct Answer is D

Explanation

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