A 6-month-old patient with a plaster spica cast is being breastfed by her mother. Which action by the mother should the nurse question?

The mother places the infant on her left side with a pillow supporting her back after feeding.

The mother covers the cast with a towel to prevent accidental soiling.

The mother uses the football hold to position the infant securely to one side.

The mother supports both the infant's head and cast when leaning her forward for burping.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Placing the infant on her left side with a pillow supporting her back after feeding is appropriate as it prevents aspiration and reflux due to gravity.

Choice B rationale:

Covering the cast with a towel to prevent accidental soiling is a sensible action, ensuring the cast remains clean and dry.

Choice C rationale:

The mother using the football hold to position the infant securely to one side might hinder the cast's stability and could potentially cause discomfort or displacement.

Choice D rationale:

Supporting both the infant's head and cast when leaning her forward for burping is essential to maintain the cast's integrity and to prevent strain on the infant's body.

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Correct Answer is B

Explanation

"The healthcare provider will use the VCUG to view her urinary tract and bladder to see if everything is okay.”.

Choice A rationale:

Administering antibiotics or fixing underlying issues are not the purposes of a voiding cystourethrogram (VCUG). VCUG is a diagnostic imaging procedure used to visualize the urinary tract and bladder for structural abnormalities, not to administer treatments.

Choice B rationale:

This choice accurately reflects the purpose of a VCUG. It is a radiographic study that involves using contrast dye to visualize the urinary tract, helping healthcare providers identify any anatomical abnormalities or functional issues related to the bladder.

Choice C rationale:

The statement in Choice C is incorrect. VCUG is not used to administer antibiotics directly into the urinary tract. It is primarily a diagnostic procedure, not a treatment method.

Choice D rationale:

Choice D is inaccurate. A VCUG is not attached to the bladder, nor is it used for monitoring a child's ability to urinate over an extended period. It is a one-time imaging procedure.

A. "My child will likely experience long-term complications, such as difficulty eating.”. B. "A few hours after surgery, my child will receive small, frequent feedings of Pedialyte.”. C. "My child will most likely have a small incision from the laparoscopic surgery.”. D. "I can breastfeed my child if the Pedialyte feedings are tolerated after 24 hours.".

Correct Answer is A

Explanation

Choice A rationale:

The statement "My child will likely experience long-term complications, such as difficulty eating”. indicates a misunderstanding about the postoperative care following a pyloromyotomy. Pyloromyotomy is a surgical procedure to treat pyloric stenosis, and the goal is to relieve the obstruction causing feeding difficulties. Long-term complications such as difficulty eating are not expected outcomes. The rationale behind this is that pyloromyotomy aims to improve feeding and resolve the obstruction, leading to improved eating habits.

Choice B rationale:

The statement "A few hours after surgery, my child will receive small, frequent feedings of Pedialyte”. is correct. After a pyloromyotomy, it's important to gradually reintroduce feeding. This statement demonstrates the caregiver's understanding of the postoperative feeding plan, which typically involves starting with clear fluids like Pedialyte.

Choice C rationale:

The statement "My child will most likely have a small incision from the laparoscopic surgery”. is incorrect. Pyloromyotomy is usually performed with a small incision, but it is not typically done laparoscopically. Instead, an open surgical approach is more common due to the nature of the procedure. Laparoscopy is not the usual method for this surgery.

Choice D rationale:

The statement "I can breastfeed my child if the Pedialyte feedings are tolerated after 24 hours”. is incorrect. After a pyloromyotomy, it's essential to follow a gradual feeding progression under medical guidance. Breastfeeding can be reintroduced gradually as the child tolerates oral feedings, but it's not solely dependent on 24 hours of Pedialyte tolerance.

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A 6-month-old patient with a plaster spica cast is being breastfed by her mother. Which action by the mother should the nurse question?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement made by the caregiver of a 2-year-old child who is scheduled to have a voiding cystourethrogram (VCUG) indicates a correct understanding of the procedure?

Correct Answer is B

Explanation

Which statement indicates a child's family needs further instruction about the postoperative care following a pyloromyotomy?

Correct Answer is A

Explanation

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