A nurse is providing education about feedings to the parents of a newborn with a cleft lip and palate. The education includes the use of a specialized bottle/nurser, offering frequent short feedings, and burping more frequently. What other education should the nurse include?
Thickened the formula with cereal.
Infant should be laying back
Position the infant in an upright position during feedings
Nasogastric tube may be needed.
The Correct Answer is C
A. Thickening the formula with cereal is generally not recommended for infants with a cleft lip and palate as it can cause additional feeding difficulties.
B. Positioning the infant laying back can increase the risk of aspiration and is not recommended. An upright position helps reduce the risk of aspiration.
C. Positioning the infant upright during feedings helps reduce the risk of aspiration and facilitates better feeding for infants with cleft lip and palate.
D. A nasogastric tube may be needed if the infant is unable to feed orally due to the severity of the cleft, but this is not a routine part of feeding education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Vibration is typically performed during exhalation, not inspiration. This helps to loosen secretions.
B. Percussion should not last 15 minutes per lung segment; it is generally performed for shorter periods to avoid discomfort or injury.
C. Administering albuterol prior to CPT helps open the airways, making it easier for the child to expectorate secretions. This is a standard practice for improving the effectiveness of CPT.
D. It is not recommended to perform CPT immediately after a meal, as it may increase the risk of aspiration or discomfort. It is usually advised to wait at least 30 minutes after eating.
Correct Answer is B
Explanation
A. Genetic testing may be recommended for family members, but it is not a necessity for all siblings unless they are showing symptoms.
B. Early intervention programs are crucial for children with Fragile X syndrome to address developmental delays, speech, and socialization skills.
C. While maintaining family support is important, children with Fragile X syndrome should have social opportunities with others outside the family to help with social development.
D. Children with Fragile X syndrome typically have normal life expectancy, although the condition can lead to intellectual disabilities and developmental delays.
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