The nurse is continuing to care for the infant.
The nurse is providing teaching to the parents of the infant.
For each instruction, click to specify if the instruction is appropriate or contraindicated for the infant.
Feed infant in a supine position
Offer smaller, more frequent feedings
Thicken formula feedings with rice cereal
Place infant in a side lying position for sleep.
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}
Feed infant in a supine position: Contraindicated
- Supine feeding increases the risk of aspiration and exacerbates reflux.
Offer smaller, more frequent feedings: Appropriate
- Smaller, frequent feedings reduce gastric distension and reflux episodes.
Thicken formula feedings with rice cereal: Appropriate
- Thickened feedings can help reduce reflux by increasing the weight of the stomach contents.
Place infant in a side-lying position for sleep: Contraindicated
- The recommended sleep position for infants is supine (on the back) to reduce the risk of sudden infant death syndrome (SIDS).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The child's BMI: Children with cystic fibrosis often have difficulty absorbing nutrients due to pancreatic insufficiency. Monitoring the child's BMI provides a good overall indicator of nutritional status, as it accounts for both weight and height.
B. The child's pancreatic enzyme dose: While important, the enzyme dose is adjusted to help the child digest food, but it does not directly assess nutritional status.
C. The child's diet: The diet is important, but it doesn't provide a direct, quantifiable measure of nutritional status. It's more of a management tool.
D. The child's stool analysis: Stool analysis can help assess malabsorption, but it does not directly reflect overall nutritional status in terms of growth or weight gain.
Correct Answer is B
Explanation
A. Urine output of 50 mL in 2 hr: This is within normal limits for a child and does not indicate an immediate concern.
B. Lethargy: Lethargy is a potential sign of increased intracranial pressure (ICP), which is a critical complication of VP shunt placement and requires immediate intervention.
C. Respiratory rate 24/min: This is within the normal range for a 4-year-old child.
D. Absent Babinski reflex: This is a normal finding in children over 2 years old, as the reflex typically disappears by that age.
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