A nurse is caring for an infant who has spina bifida.
Which of the following actions should the nurse take?
Feed the infant through an NG tube.
Place the infant in a prone position.
Cover the infant’s lesion with a dry cloth.
Perform range-of-motion (ROM) exercises to the infant’s hips.
The Correct Answer is B
Choice A rationale
Feeding an infant with spina bifida through an NG tube may not be necessary unless the child has specific feeding difficulties or other health issues. Spina bifida does not typically affect a child’s ability to eat or swallow.
Choice B rationale
Placing an infant with spina bifida in a prone position can help protect and care for the lesion on their back. It can also help prevent pressure sores and promote comfort.
Choice C rationale
Covering the infant’s lesion with a dry cloth is not typically recommended. The lesion should be kept clean and moist to promote healing and prevent infection.
Choice D rationale
While physical therapy and exercises can be beneficial for children with spina bifida, performing range-of-motion exercises to the infant’s hips may not be necessary unless specifically recommended by a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While facial paralysis is a serious condition, it is not typically associated with a cleft palate.
Choice B rationale
Ear infections are a common complication of a cleft palate, but they are not typically a sign of an immediate, serious problem.
Choice C rationale
Increased intracranial pressure is not a common complication of a cleft palate, but it is a serious condition that requires immediate medical attention.
Choice D rationale
Drooling is common in children with a cleft palate and is not typically a sign of a serious problem.
Correct Answer is B
Explanation
Choice A rationale
Excessive crying is a common symptom of neonatal abstinence syndrome. This is because the baby is experiencing withdrawal symptoms after being exposed to drugs in the womb before birth.
Choice B rationale
Normal sleep patterns are not typically associated with neonatal abstinence syndrome. Infants with this condition often have sleep problems.
Choice C rationale
Decreased muscle tone is not a common symptom of neonatal abstinence syndrome. In fact, these infants often have tight muscle tone and overactive reflexes.
Choice D rationale
Increased appetite is not a typical symptom of neonatal abstinence syndrome. These infants often have poor feeding and sucking, which could lead to poor weight gain.
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