A newborn infant with a tracheoesophageal repair is receiving gastrostomy (GT) feedings postoperatively. Which intervention should the practical nurse (PN) implement during the GT feedings?

Burp the infant after every 10 mL of formula and re-feed any volume that is spit up.

Place the infant in the right lateral position to facilitate gastric emptying.

Oﬀer a pacifier during the feedings to satiate the sucking reﬂex associated with feedings.

Flush the GT with 50 mL water and clamp the GT to prevent leakage.

Answer and Explanation

The Correct Answer is C

During gastrostomy (GT) feedings for a newborn infant with a tracheo-esophageal repair, the practical nurse (PN) should oﬀer a pacifier to satiate the sucking reﬂex associated with feedings. Sucking is a natural reﬂex for infants and providing a pacifier during feedings can help satisfy this need and promote comfort. The other interventions listed may also be important to implement during GT feedings, but oﬀering a pacifier to satiate the sucking reﬂex is the most appropriate intervention in this situation.

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Correct Answer is C

Explanation

Passage of meconium stool is a normal and expected event in the first 24-48 hours of life. The absence of meconium stool can be indicative of bowel obstruction or other underlying medical conditions, and requires further investigation and evaluation by the healthcare team. The other options are important pieces of information, but they do not carry the same level of urgency as the absence of meconium stool.

A. The child likes to wiggle the fingers on the hand of the aﬀected side. B. The child's radial pulse volume on the aﬀected arm is difficult to palpate. C. An accurate respiratory rate cannot be measured because of the child's crying. D. The parents of the child are requesting that the child receive an analgesic.

Correct Answer is B

Explanation

This could indicate reduced blood ﬂow to the aﬀected arm, which may be a sign of compartment syndrome. Compartment syndrome is a serious condition that requires immediate intervention by a registered nurse (RN). The other options may also require intervention, but they are not as urgent as the situation described in option B.

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A newborn infant with a tracheoesophageal repair is receiving gastrostomy (GT) feedings postoperatively. Which intervention should the practical nurse (PN) implement during the GT feedings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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