The nurse is planning care for an infant after a cleft-lip repair. Which of the following is NOT an appropriate nursing intervention for this infant?

Keep suction equipment at bedside.

Position the child upright for feedings.

Feed slowly using specialized feeding bottles.

Explain to the mother that breastfeeding will not be possible until after the repair.

Answer and Explanation

The Correct Answer is D

Choice A reason: Keeping suction equipment at bedside is important to maintain airway patency and prevent aspiration.
Choice B reason: Positioning the child upright for feedings can help prevent aspiration and is a recommended practice.
Choice C reason: Feeding slowly using specialized feeding bottles can help the infant feed effectively and safely.
Choice D reason: This is the correct choice. Breastfeeding is often possible with the use of special techniques and should not be discouraged unless specifically contraindicated.

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Correct Answer is B

Explanation

Choice A reason: Clubbed fingers are a sign of chronic hypoxia and may be seen in older children with cystic fibrosis, but they are not typically present at birth.
Choice B reason: This is the correct choice. Meconium ileus is a blockage of the intestines that occurs shortly after birth and is often the first sign of cystic fibrosis.
Choice C reason: A barrel chest is associated with chronic respiratory conditions and would not be present in a newborn.
Choice D reason: Steatorrheic stools, or fatty stools, may occur in cystic fibrosis but are not a primary indicator in a newborn.

A. Feeding the toddler B. Dressing the toddler C. Offering the toddler a choice of clothing D. Asking the toddler if he would like to take his medicine

Correct Answer is C

Explanation

Choice A reason: Feeding the toddler is important, but it does not specifically address the development of autonomy or decision-making skills.

Choice B reason: Dressing the toddler is a necessary task, but it does not encourage the child's active participation or independence.

Choice C reason: Offering the toddler a choice of clothing allows the child to make decisions, fostering a sense of control and independence, which is developmentally appropriate and empowering for the toddler.

Choice D reason: Asking the toddler if he would like to take his medicine is a good practice to involve the child in their care, but it is not as impactful on development as offering choices that promote autonomy.

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The nurse is planning care for an infant after a cleft-lip repair. Which of the following is NOT an appropriate nursing intervention for this infant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is the most appropriate?

Correct Answer is B

Explanation

Which nursing intervention is most developmentally appropriate for a toddler with a birth injury of a torn brachial plexus that resulted in muscle atrophy and weakness of the right arm?

Correct Answer is C

Explanation

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