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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The statement "I feel numb. I just can't believe this is happening”. reflects the emotional reaction of shock. Shock is a common initial response to distressing news, as the individual may find it difficult to process and accept the reality of the situation.
Choice B rationale:
Denial is the refusal to accept reality and is often accompanied by a lack of awareness or acknowledgment of the situation. The mother's statement does not demonstrate denial, as she acknowledges the situation but expresses disbelief.
Choice C rationale:
Anger is a stage of grief characterized by feelings of hostility and resentment. The mother's statement does not show anger, as she does not express any aggressive or hostile emotions.
Choice D rationale:
Depression involves feelings of extreme sadness, hopelessness, and low mood. The mother's statement does not directly convey depression; rather, it indicates a sense of disbelief and numbness.
Correct Answer is C
Explanation
Choice A rationale:
"Does the child have a sore throat currently?”. This choice is important but not the most critical question. The surgery involves tonsillectomy and adenoidectomy, so the child's current sore throat might not be as pertinent as other factors.
Choice B rationale:
"Do the caregivers have soft foods at home for the child?”. This choice is important for post-operative care, but the most crucial consideration is the child's fasting status before surgery.
Choice C rationale:
"When was the last time the child ate or drank anything?”. This choice is correct. It is essential to determine the child's fasting status before surgery to prevent potential complications related to anesthesia and surgery.
Choice D rationale:
"Does the child have any questions about the procedure?”. While ensuring the child's understanding is important, it is not the most critical question regarding preparation for the surgery.
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