A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions after feeding?

Prone

Upright

Right side

Left side

Answer and Explanation

The Correct Answer is B

Choice A rationale: Placing the infant in the prone position (face down) after feeding is not recommended for a baby with gastroesophageal reflux. The prone position can increase the risk of aspiration if reflux occurs while the baby is lying down.
Choice B rationale: For an infant with gastroesophageal reflux, placing the baby in an upright position after feeding can help prevent or reduce reflux episodes. Keeping the infant in an upright position allows gravity to assist in keeping stomach contents down and reduces the likelihood of reflux into the esophagus.
Choice C rationale: Placing the infant on the right side after feeding is also not recommended for managing gastroesophageal reflux. The right side position may not be as effective in preventing reflux as the upright position.
Choice D rationale: Placing the baby on either side after feeding is also not recommended for managing gastroesophageal reflux. The upright position is more effective in preventing reflux episodes and promoting digestion. Side-lying positions after feeding may not provide the same benefits and can potentially increase the risk of reflux.

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Correct Answer is ["89.722 mL"]

Explanation

To convert ounces to milliliters, we use the conversion factor: 1 oz = 29.5735 mL

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (0800 feedings)

1 oz = 1 * 29.5735 = 29.5735 mL (1100 feeding)

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (1300 feeding)

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (1600 feeding)

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (1830 feeding)

Total intake = 14.7868 + 29.5735 + 14.7868 + 14.7868 + 14.7868 = 89.722 mL

So, the nurse should record 89.722 mL of formula as the client's intake for the shift.

A. "Your baby's mouth is rather small so she will only take part of nipple." B. "You should place your nipple and some of the areola into her mouth." C. "Try to place the nipple, the entire areola, and some breast tissue beyond the areola into her mouth." D. "Babies know instinctively exactly how much of the nipple to take into their mouth."

Correct Answer is B

Explanation

Choice A rationale:
Placing only part of the nipple in the baby's mouth may result in an ineffective latch, leading to breastfeeding difficulties.
Choice B rationale:
Placing the nipple and 2 to 3 cm of areolar tissue around the nipple into the baby’s mouth aids in adequately compressing the milk ducts. This placement decreases stress on the nipple and prevents cracking and soreness.
Choice C rationale:
Placing the entire areolar is not appropriate.
Choice D rationale:
While babies do have natural instincts to breastfeed, it is essential to provide the mother with specific guidance on achieving a proper latch to ensure successful breastfeeding.

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A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions after feeding?

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Naxlex Comprehensive Predictor Exams

.A nurse is caring for a newborn who is formula-fed. The newborn takes 0.5 oz of formula at 0800, 1 oz at 1100, 0.5 oz at 1300, 0.5 oz at 1600, and 0.5 oz at 1830. How many mL of formula should the nurse record as the client's intake for the shift?

Correct Answer is ["89.722 mL"]

Explanation

A nurse is assisting a client who is postpartum with her first breastfeeding experience. When the client asks how much of the nipple she should put into the baby's mouth, which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

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