A nurse is providing teaching to the parent of a newborn who has gastroesophageal reflux.

Which of the following instructions should the nurse include?

"Dilute formula with 1 tablespoon of water."

"Position the newborn at a 20-degree angle after feeding."

"Provide a small feeding just before bedtime."

Place the newborn in a side-lying position if vomiting."

Answer and Explanation

The Correct Answer is B

A.   Diluting formula with water can decrease the calorie and nutrient content of the formula and is not typically recommended for infants with gastroesophageal reflux.
B.   Positioning the newborn at a 20-degree angle after feeding can help reduce gastroesophageal reflux by allowing gravity to assist in keeping stomach contents down.
C.   Providing a small feeding just before bedtime may increase the risk of gastroesophageal reflux and should be avoided.
D.   Placing the newborn in a side-lying position if vomiting is not recommended due to the risk of aspiration. Infants should be placed on their back to sleep to reduce the risk of sudden infant
death syndrome (SIDS).

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Correct Answer is ["1680"]

Explanation

We'll use milliliters (mL) as the standard unit. There are approximately 30 mL in 1 ounce.

The client's intake from the coffee, beef broth, gelatin, and water is 8 oz + 8 oz + 6 oz + 24 oz, which equals 46 oz.

Converting ounces to milliliters, we get: 46 oz * 30 mL/oz = 1380 mL.

Adding the IV fluids, the total intake is 300 mL + 1380 mL = 1680 mL. The client's total intake is 1680 mL.

A. Cooking in a stainless steel skillet increases the amount of iron in the food. B. Drinking iced tea with meals can increase the amount of iron absorbed. C. Fish and poultry are primary sources of heme iron. D. Drinking orange juice with iron supplements can decrease absorption.

Correct Answer is C

Explanation

A: Cooking in a stainless steel skillet does not increase the amount of iron in food. Iron skillets are known to increase iron content in food, not stainless steel.
B: Drinking iced tea with meals can actually decrease iron absorption. Tea contains tannins, which bind to iron and can inhibit its absorption.
C: Fish and poultry are indeed primary sources of heme iron, which is more easily absorbed by the body than non-heme iron found in plant sources.
D: Drinking orange juice with iron supplements can increase absorption. The vitamin C in orange juice enhances the absorption of iron.

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A nurse is providing teaching to the parent of a newborn who has gastroesophageal reflux. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["1680"]

Explanation

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Correct Answer is C

Explanation

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A nurse is providing teaching to the parent of a newborn who has gastroesophageal reflux.

Which of the following instructions should the nurse include?