The parents of a 14-month-old child, hospitalized due to febrile seizures, express their concern to the nurse about their child having seizures for life.

What information should the nurse share with these parents?

= Answer is... Choice B. Offer a pacifier for non-nutritive sucking.

Choice A rationale:

In the context of a newborn with a repaired gastroschisis receiving parenteral nutrition and continuous enteral feedings, instituting physical therapy may not directly contribute to the maintenance of normal growth and development concerning nutrition. While physical therapy plays a vital role in promoting motor development and rehabilitation in infants with various medical conditions, its immediate relevance to nutritional support in this scenario may be limited. Instead, the focus of care for this infant revolves around optimizing nutritional intake and supporting oral feeding skills, making physical therapy a less prioritized intervention at this stage.

Choice B rationale:

Offering a pacifier for non-nutritive sucking is a crucial action to include in the plan of care for a newborn receiving enteral nutrition, especially in the context of gastroschisis repair. Non-nutritive sucking serves several purposes beneficial for the infant's development and well-being. Firstly, it promotes the development of oral feeding skills, including suck-swallow coordination and oral motor strength, which are essential for transitioning to oral feeding and achieving nutritional milestones. Secondly, non-nutritive sucking provides comfort and helps infants self-regulate, contributing to their overall physiological and emotional stability. By offering a pacifier for non-nutritive sucking, the nurse supports the infant's oral motor development and enhances their ability to transition from enteral to oral feeding, ultimately promoting normal growth and development.

Choice C rationale:

Ensuring the placement of the enteral tube with an abdominal x-ray is an essential aspect of enteral nutrition administration; however, it may not directly contribute to the maintenance of normal growth and development in the same way as offering a pacifier for non-nutritive sucking does. While verifying enteral tube placement is crucial for preventing complications such as aspiration or malabsorption, continuous reliance on abdominal x-rays for tube placement confirmation poses risks associated with radiation exposure, especially in neonates. Therefore, while verifying tube placement is necessary, it should be balanced with the consideration of minimizing radiation exposure and utilizing alternative methods such as auscultation or pH testing when appropriate.

Choice D rationale:

Using sterile technique during feedings is a fundamental aspect of enteral nutrition administration to minimize the risk of infection and ensure patient safety. However, while maintaining sterility is essential, it may not directly address the specific goal of maintaining normal growth and development in the context of enteral nutrition. The question specifically emphasizes actions to support normal growth and development, which are more directly facilitated by interventions such as non-nutritive sucking to enhance oral feeding skills and self-regulation.

Choice A rationale
Creating an organization chart for tasks can help a child with ADHD manage their responsibilities and stay on track.
Choice D rationale
Designating an established area for study can provide structure and minimize distractions, helping a child with ADHD focus on their work.
Choice E rationale
Maintaining a consistent home schedule can provide predictability and structure, which can be beneficial for a child with ADHD5.
Choice B rationale
Nonstimulant medications can be beneficial in the treatment of ADHD. They are often used when stimulant medications are not effective or cause undesirable side effects.
Choice C rationale
While medication can be an important part of treatment for some children with ADHD, it is not always the best or only approach. Behavioral therapy and lifestyle changes are also important components of treatment.
Choice F rationale
Being diagnosed with ADHD does not automatically qualify a child for a specialized education plan. While some children with ADHD may benefit from individualized education programs (IEPs) or 504 plans, these are determined on a case-by-case basis.