The nurse is providing teaching for the mother of an infant who receives all of his nutrition through a nasogastric feeding tube. The nurse is reviewing interventions to promote growth and development. Which response from the mother indicates a need for further teaching?
"I will give him a pacifier during feeding time."
"We need to make sure he doesn't lose the desire to eat by mouth."
"We need to keep feeding time very quiet."
"Sucking produces saliva, which aids in digestion."
The Correct Answer is A
A. "I will give him a pacifier during feeding time.": Giving a pacifier during feeding time may interfere with the infant's ability to coordinate sucking, swallowing, and breathing, especially if
they are receiving nutrition through a nasogastric tube. This response indicates a need for further teaching because pacifiers during feeding time could potentially disrupt the infant's feeding
pattern and may not be appropriate in this situation.
B. "We need to make sure he doesn't lose the desire to eat by mouth.": This response
demonstrates an understanding of the importance of maintaining the infant's oral feeding skills and indicates appropriate knowledge about promoting oral feeding while using a nasogastric
tube.
C. "We need to keep feeding time very quiet.": Keeping feeding time quiet can help reduce distractions and promote a calm environment, which may enhance feeding tolerance for the infant. This response reflects an understanding of strategies to facilitate feeding.
D. "Sucking produces saliva, which aids in digestion.": This response demonstrates knowledge about the benefits of sucking and saliva production during feeding, indicating an understanding of the infant's physiological needs during feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Uses thumb and index fingers in a pincer grasp: The pincer grasp typically develops around 9 to 12 months of age, not at 6 months.
B. Sitting steadily without support: Most infants begin to sit steadily without support between 6 and 8 months of age, so this would be considered a developmental milestone for a 6-month-old.
C. Closed posterior fontanel: The posterior fontanel typically closes by 2 months of age. By 6 months, the posterior fontanel should be closed, so this finding would not be expected.
D. Lateral incisors: By 6 months of age, most infants will have erupted their lower central
incisors. The eruption of the lateral incisors typically occurs around 9 to 13 months of age, so this would be a normal finding for a 6-month-old infant.
Correct Answer is B
Explanation
A. Eruption of the last four molars: This characteristic typically occurs during adolescence but may vary individually. However, it is not universal among all teenagers and does not apply to both genders equally.
B. Increased shoulder, chest, and hip widths: During adolescence, both boys and girls experience growth spurts, leading to increased shoulder, chest, and hip widths as part of their overall physical development.
C. Decreased respiratory rates of 15 to 20 breaths per minutE. Respiratory rates in teenagers generally remain within the normal adult range, typically between 12 and 20 breaths per minute. There is no consistent decrease in respiratory rates during adolescence.
D. Fully functioning sweat and sebaceous glands: Sweat and sebaceous glands are typically fully developed and functional by adolescence. This characteristic is not specific to teenagers but applies to individuals of all ages once these glands have matured.
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