A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse include?
Allow the infant to have soft foods.
Maintain elbow restraints on the infant.
Instruct the parents to feed the infant with a spoon.
Tell the parents to avoid brushing the infant's teeth for two weeks.
The Correct Answer is B
The nurse should include maintaining elbow restraints on the infant in the plan of care following cleft palate repair. This helps to prevent the infant from touching their surgical site and disrupting the healing process.
a) Allowing the infant to have soft foods may be appropriate, but it is not the highest priority. The infant's diet should be determined by the provider and based on the infant's individual needs.
c) Instructing the parents to feed the infant with a spoon may be appropriate, but it is not the highest priority. The infant's feeding method should be determined by the provider and based on the infant's individual needs.
d) Telling the parents to avoid brushing the infant's teeth for two weeks may be appropriate, but it is not the highest priority. The infant's oral care should be determined by the provider and based on the infant's individual needs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D"]
Explanation
Swimming is a low-impact sport that minimizes the risk of injury and joint stress, making it an ideal choice for children with hemophilia. It provides a cardiovascular workout without subjecting the child to excessive physical stress or the risk of trauma that could lead to bleeding. Swimming also promotes muscle strength and coordination without putting significant pressure on the joints.
Now, let's discuss why the other options are not recommended:
a.Basketball
Basketball involves physical contact and has a higher risk of falls, collisions, and potential injuries. These factors increase the likelihood of bleeding episodes for individuals with hemophilia
b.Gymnastics
Gymnastics also carries a high risk of falls, joint stress, and potential injuries. The impact and demanding movements involved in gymnastics can pose a significant risk for children with hemophilia, leading to bleeding complications.
c.Soccer
Soccer is a contact sport that involves running, kicking, and potential collisions with other players. The physical demands and unpredictable nature of the game increase the risk of injury and subsequent bleeding for individuals with hemophilia.
In summary, swimming is the most suitable sport for a school-age child with hemophilia due to its low- impact nature and minimal risk of injury. It promotes physical fitness while minimizing the likelihood of bleeding episodes and joint stress.
Correct Answer is C
Explanation
To elicit the Moro reflex, the nurse should clap hands after laying the newborn on a flat surface. The Moro reflex, also known as the startle reflex, is an involuntary motor response that infants develop shortly after birth. Loud noises and sudden movements can trigger a baby’s Moro reflex.
Option a is incorrect because turning the newborn's head quickly to one side while they are sleeping may not elicit the Moro reflex.
Option b is incorrect because placing a finger in the newborn's palm may elicit the grasp reflex, not the Moro reflex.
Option d is incorrect because holding the newborn upright with one foot touching the crib surface may not elicit the Moro reflex.
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