Which statement by the parent of a 10-month-old infant with Down Syndrome indicates the need for further instruction about the child's home care needs?
"I should refeed any thrust out food to my baby.".
"I should avoid using skin lubricants on my baby.".
"I should suction my baby's nose before feedings.".
"I should use minimal soap when bathing my baby.".
The Correct Answer is A
Choice A rationale:
Refeeding any thrust out food to the baby is incorrect as it increases the risk of choking and aspiration. Parents should discard food that the baby has pushed out to prevent potential harm.
Choice B rationale:
Avoiding the use of skin lubricants on the baby is appropriate as these products might irritate the baby's sensitive skin.
Choice C rationale:
Suctioning the baby's nose before feedings is important to ensure proper breathing and effective feeding, especially in infants with Down Syndrome who may have nasal congestion.
Choice D rationale:
Using minimal soap when bathing the baby is appropriate to prevent skin irritation. Babies have delicate skin, and excessive soap can lead to dryness and discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
X-linked dominant disorders are characterized by a mutation on the X chromosome that results in the expression of the trait in both males and females. Hemophilia, however, is more commonly associated with males, which is not consistent with an X-linked dominant pattern.
Choice B rationale:
Autosomal recessive disorders require the inheritance of two mutated alleles, one from each parent, to express the trait. Hemophilia does not follow this pattern, as the patient's sisters do not have the condition despite having affected parents.
Choice C rationale:
Autosomal dominant disorders only require the inheritance of one mutated allele from an affected parent to express the trait. Hemophilia does not align with an autosomal dominant pattern, as the patient's sisters would likely be affected if it were.
Choice D rationale:
Hemophilia is a classic example of an X-linked recessive disorder. The gene responsible for producing clotting factor is located on the X chromosome, and males have only one X chromosome, making them more susceptible to the disorder. Females, with two X chromosomes, usually act as carriers unless both X chromosomes carry the mutation.
Correct Answer is B
Explanation
Choice A rationale:
Planning for nurses to provide feedings is not necessary since this is not related to the nursing care plan and doesn't address the mother's concern.
Choice B rationale:
Reporting the finding to the health care provider is appropriate because vomiting after surgical repair of hypertrophic pyloric stenosis could indicate a potential complication or issue.
Choice C rationale:
Assuring the mother that vomiting after surgical repair is normal might not be accurate and could dismiss a potentially significant concern.
Choice D rationale:
Telling the mother it is all right to feel anxious doesn't address the vomiting concern directly and might not be the most pertinent response at this time.
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