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 B

Explanation

Placenta previa is a condition in which the placenta partially or completely covers the cervix, which can lead to vaginal bleeding during pregnancy. In severe cases, this bleeding can be life-threatening and can lead to hemorrhage. Therefore, the PN should closely monitor the client for any signs of bleeding or hemorrhage, such as excessive vaginal bleeding, hypotension, tachycardia, or signs of shock. The PN should also ensure that the client receives appropriate medical interventions and that emergency measures are in place in case of sudden bleeding or hemorrhage.

A. The family is poorly dressed, has poor eye contact, and seems overwhelmed by the hospital. B. The child has had 4 previous visits to 3 diﬀerent emergency departments. C. The child clings to her mother and does not want the PN to examine her. D. The child's step-father is extremely concerned and refuses to leave the child alone.

Correct Answer is B

Explanation

Repeated visits to multiple emergency departments for various injuries or complaints can be a red ﬂag for possible child abuse. The other options may indicate other issues or concerns, but they do not provide as much reason to suspect child abuse as the history of repeated visits to diﬀerent emergency departments. It is important for healthcare providers to remain vigilant for signs of child abuse and to report any suspicions to the appropriate authorities.

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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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