A nurse is caring for an infant who has a cleft palate and is having trouble bottle feeding.
Which of the following actions should the nurse take?
Select a bottle with a one-way flow valve.
Choose a bottle with a narrow nipple.
Burp the infant every 90 ml (3 oz).
Use the football hold when feeding the child.
The Correct Answer is A
Rationale:
A) Selecting a bottle with a one-way flow valve can help control the flow of milk, making it easier for the infant to manage feeding with a cleft palate.
B) Choosing a bottle with a narrow nipple may not be as effective in controlling milk flow for an infant with a cleft palate.
C) Burping the infant regularly is important during feeding, but it does not specifically address the challenges associated with feeding a child with a cleft palate.
D) The football hold may or may not be helpful depending on the individual infant's feeding preferences and the severity of the cleft palate.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A) Inability to hold a bottle is typically achieved by 4-6 months, so it might indicate a developmental delay.
B) Palmar grasp is a primitive reflex typically seen in newborns, and it should be replaced by more voluntary grasping patterns by 8 months.
C) Sitting unsupported is a milestone typically achieved by 6-8 months, indicating expected growth and development at 8 months.
D) Forcing the tongue outward when touched might indicate tongue thrust reflex, which should typically disappear around 4-6 months.
Correct Answer is B
Explanation
Rationale:
A. Excessive juice does not cause constipation, but it can reduce the appetite for other foods.
B. A 15-month-old toddler needs about 500 milligrams of calcium per day to support bone growth and development. Calcium can be found in dairy products, fortified cereals, and leafy green vegetables.
C. Toddlers need approximately 1,000 to 1,300 calories per day to support their rapid growth and development. Therefore, 1500- 1800 calories per day is too much for a toddler.
D. While toddlers may experience changes in appetite, there is no specific age-related sudden increase at 18 months mentioned in nutritional guidelines.
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