What information should a nurse plan to give the parents of a 9-month-old infant who is to be discharged after a cleft palate repair?

Allow the child to self-feed with a spoon.

Feed the child pureed or soft foods.

Use a cup with a straw instead of a bottle.

Restrict breastfeeding for the first month.

Answer and Explanation

The Correct Answer is B

Choice B rationale:

After cleft palate repair, infants should be fed pureed or soft foods to prevent trauma to the surgical site and facilitate healing. These textures minimize the risk of injury and avoid strain on the repaired area.

Choice A rationale:

Allowing the child to self-feed with a spoon can introduce solid textures prematurely and pose a risk of disrupting the surgical repair.

Choice C rationale:

Using a cup with a straw might cause suction that could negatively impact the healing surgical site, increasing the risk of complications.

Choice D rationale:

Restricting breastfeeding is not necessary for cleft palate repair. However, positioning adjustments may be needed to facilitate effective breastfeeding while minimizing stress on the surgical area.

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Correct Answer is B

Explanation

Choice A rationale:

The statement about an increased risk for developing obesity is accurate. However, this does not indicate a need for further education about Down syndrome, as obesity is a common concern in the general population as well.

Choice B rationale:

The statement about an increased risk for developing diabetes would indicate a need for further education. Individuals with Down syndrome are indeed at an elevated risk of developing diabetes, often in their early adulthood.

Choice C rationale:

The statement about an increased risk for developing cataracts is accurate. However, it is not a primary concern associated with Down syndrome in infancy.

Choice D rationale:

The statement about skeletal abnormalities is accurate. While individuals with Down syndrome can have certain skeletal features, this is not a critical concern during infancy.

A. Instruct the mother in palpation of bladder distention. B. Inform her mother that life-long antibiotic administration will be necessary. C. Prepare the mother for the need for urinary diversion surgery. D. Instruct the mother in the technique of clean intermittent catheterization.

Correct Answer is D

Explanation

Choice A rationale:

Instructing the mother in palpation of bladder distention might not effectively address the issue of incomplete bladder emptying. Clean intermittent catheterization is a more appropriate technique to ensure complete emptying.

Choice B rationale:

Informing the mother that life-long antibiotic administration will be necessary is not the primary approach. Antibiotics may be required in specific situations, but addressing incomplete emptying is the key focus.

Choice C rationale:

Preparing the mother for the need for urinary diversion surgery is premature. Clean intermittent catheterization is a conservative measure that should be attempted before considering surgical options.

Choice D rationale:

Instructing the mother in the technique of clean intermittent catheterization helps manage the neurogenic bladder's incomplete emptying. This technique reduces the risk of urinary tract infections and promotes bladder health.

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What information should a nurse plan to give the parents of a 9-month-old infant who is to be discharged after a cleft palate repair?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A mother brought her infant with Down syndrome into the clinic for a well-child checkup. Which statement made by the mother would indicate a need for further education about Down syndrome? "I know my child has an increased risk for developing:.

Correct Answer is B

Explanation

A patient has a neurogenic bladder with incomplete emptying. Which discharge instruction for the patient's mother should be included in the teaching plan?

Correct Answer is D

Explanation

A 13-year-old with severe scoliosis is admitted for insertion of Harrington rods. In preparing the patient for postoperative care, the nurse should provide which information?

The nurse is preparing a patient for discharge and teaching the parents about the home use of digoxin. Which statement by the mother would indicate a good understanding of the instructions?

Which nursing intervention should a nurse expect to perform on a 7-year-old child diagnosed with mild dehydration secondary to diarrhea?

Which of the following are true regarding the transmission of Rotavirus? Select all that apply.

When admitting a 4-year-old patient to the hospital, the nurse learns that the child was exposed to chicken pox three days ago. Which understanding about chicken pox should the nurse consider during room assignment?

A 14-year-old patient is brought unconscious to the emergency room. It is suspected that the patient has deliberately taken an overdose of acetaminophen with 1/2 pint of vodka. The healthcare provider prescribes several interventions. Which intervention should the nurse question?

The nurse is to record the intake and output of a 2-year-old patient. The patient is not toilet trained. Which measure would be most appropriate to include in the patient's plan of care?

A 4-year-old patient is newly diagnosed with acute lymphocytic leukemia (ALL). The patient's mother says to the nurse, "I feel numb. I just can't believe this is happening.”. The nurse recognizes that this statement is consistent with which emotional reaction?