What information would the nurse include when teaching the parents of an infant about colic?
The infant will need future follow-up for a "nervous" bowel
Symptoms will decrease if the infant is laid on the back after feedings
Formula intake should be doubled to keep the infant from losing weight
Colic symptoms will probably fade at 3 months of age
The Correct Answer is D
A. The infant will need future follow-up for a "nervous" bowel: Colic is not typically associated with a "nervous" bowel. It is marked by excessive crying and discomfort, often with no underlying gastrointestinal issues. No long-term follow-up for a "nervous" bowel is required.
B. Symptoms will decrease if the infant is laid on the back after feedings: The infant should be placed on their back to sleep to reduce the risk of SIDS, but this is not linked to reducing colic symptoms. Colic is associated factors such as digestive discomfort or overstimulation.
C. Formula intake should be doubled to keep the infant from losing weight: Doubling the formula intake is not recommended for managing colic. Overfeeding can worsen discomfort and lead to other issues like reflux. Colic does not typically result in significant weight loss if the infant is feeding appropriately.
D. Colic symptoms will probably fade at 3 months of age: Colic typically peaks around 6 to 8 weeks of age and begins to decrease by 3 to 4 months of age. Most infants outgrow the condition by this time, and the symptoms usually resolve on their own.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Restrict the intake of fruit, vegetables, and fluid: There is no need to restrict the intake of fruit, vegetables, or fluids for a child with a ventriculoperitoneal (VP) shunt. Maintaining proper hydration and nutrition is essential for overall health, and a balanced diet is encouraged.
B. Expect to have the shunt replaced as the child grows: As the child grows, the ventriculoperitoneal shunt may need to be replaced or adjusted to accommodate the growing head and body. This is an important aspect of long-term management of the condition.
C. Examine the site every year for signs of swelling or redness: It is important to monitor the shunt site daily or regularly, more frequently than once a year. Parents should be taught to check the site for signs of infection, swelling, or redness and to notify the healthcare provider if any of these occur.
D. Observe the child for signs of increased intracranial pressure: Increased intracranial pressure (ICP) is a critical concern for children with a VP shunt. Symptoms such as vomiting, lethargy, irritability, or changes in behavior may indicate increased ICP, which requires immediate medical attention.
E. Notify the health provider if the child develops a fever: A fever can be a sign of infection, which could indicate a complication with the shunt, such as an infection of the shunt or its components. Parents should notify the healthcare provider promptly if the child develops a fever.
Correct Answer is A
Explanation
A. The vaginal discharge may be bothersome but is a normal occurrence: White vaginal discharge without odor or itching is common during early pregnancy due to hormonal changes. It is typically harmless unless accompanied by additional symptoms like itching or foul odor.
B. Use tampons if the discharge is bothersome but be sure to change the tampons every two hours: Tampons are not recommended during pregnancy as they can increase the risk of infections. The focus should be on alternative measures like using panty liners for comfort.
C. Report to the emergency department immediately: The discharge described is not abnormal or concerning. Emergency care is unnecessary unless the client experiences additional alarming symptoms such as bleeding, severe pain, or a strong odor.
D. Come to the clinic immediately: The discharge seems normal, so immediate clinic visits are not necessary unless there are other concerning symptoms. A phone call and reassurance would be more appropriate.
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