A nurse is educating a parent of an infant diagnosed with gastroesophageal reflux. Which statement from the parent shows they have understood the teaching?
“I will need to feed my baby with formula instead of breast milk.”.
“I should position my baby on their side during sleep.”.
“I will keep my baby in an upright position after feedings.”.
“I can thicken my baby’s formula with oatmeal.”.
The Correct Answer is C
Choice A rationale
While formula feeding is not contraindicated in infants with gastroesophageal reflux (GER), it is not necessary to switch from breast milk to formula. Both breast milk and formula can be used in infants with GER56.
Choice B rationale
Positioning the baby on their side during sleep is not recommended. This position does not help with GER and can increase the risk of sudden infant death syndrome.
Choice C rationale
Keeping the baby in an upright position after feedings can help reduce the symptoms of GER. Gravity helps keep the stomach contents down and prevents them from flowing back into the esophagus.
Choice D rationale
Thickening the baby’s formula with oatmeal is sometimes recommended for infants with GER. However, this should only be done under the guidance of a healthcare provider.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Lifting a patient under the shoulders by two nurses can be strenuous and may not provide adequate support for a patient who can only partially assist.
Choice B rationale
While this method may work for some patients, it relies heavily on the patient’s strength and ability to push with their feet. If the patient is weak or unable to exert enough force, this method could be unsafe.
Choice C rationale
Using a device to reduce friction is the most appropriate technique when shifting a patient who can only partially assist. Devices such as slide sheets or transfer boards can help move the patient smoothly and with less physical strain on the healthcare provider.
Choice D rationale
Lifting the patient’s legs while the patient uses a trapeze bar requires significant upper body strength from the patient and may not be feasible for all patients.
Correct Answer is D
Explanation
Choice A rationale
Propranolol is sometimes used to prevent migraines, so a history of migraines would not typically be a contraindication.
Choice B rationale
Hypothyroidism is not typically a contraindication for propranolol. However, propranolol can affect the metabolism of thyroid hormones and may mask signs of hyperthyroidism.
Choice C rationale
Propranolol is often used to treat hypertension, so a history of hypertension would not typically be a contraindication.
Choice D rationale
Propranolol is a non-selective beta-blocker, which means it blocks beta receptors in both the heart and the lungs. This can potentially cause bronchoconstriction and exacerbate asthma symptoms, so it should be used with caution in patients with a history of bronchial asthma.
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