The nurse is assessing the bottle-feeding technique of a new family. Which behaviour by the parents requires further teaching?

Feeding the baby while lying in the bassinet

Periodically pausing the feeding

Discarding the remaining milk after one hour

Holding the baby upright during feedings

Answer and Explanation

The Correct Answer is A

Choice A reason: Feeding the baby while lying in the bassinet can pose a significant risk of choking and improper feeding technique. Babies should be fed while being held in an upright or semi-upright position to ensure proper swallowing and to prevent aspiration of milk into their airways. This practice promotes bonding between the caregiver and the baby and supports the baby’s overall feeding development. Therefore, further teaching is required for parents who feed their baby while the baby is lying in the bassinet.

Choice B reason: Periodically pausing the feeding is actually a recommended practice as it allows the baby to burp and prevents overfeeding. It also gives the baby a break to catch their breath and reset their sucking pattern. This technique can reduce the risk of discomfort and gas. Hence, this behaviour does not require further teaching.

Choice C reason: Discarding the remaining milk after one hour is a proper practice because milk can spoil and become contaminated with bacteria, leading to potential health risks for the baby if consumed. It is important to ensure that the baby is fed with fresh milk to avoid any health issues. Therefore, this behaviour does not require further teaching.

Choice D reason: Holding the baby upright during feedings is a correct and recommended practice. This position helps to prevent ear infections, reduces the risk of choking, and promotes better digestion. It ensures that the milk flows steadily and safely into the baby's mouth, aiding in a more efficient feeding process. Thus, this behaviour does not require further teaching.

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Correct Answer is A

Explanation

Choice A reason: Lack of prenatal care is a significant risk factor for neural tube defects, including myelomeningocele, because it often means the mother did not receive important prenatal vitamins like folic acid, which are crucial for proper neural tube development. Prenatal care provides essential screenings and supplements to support a healthy pregnancy and fatal development. Without it, the risk of congenital anomalies, such as myelomeningocele, increases significantly. Additionally, prenatal care helps in identifying and managing other risk factors and conditions that may affect both maternal and fatal health.

Choice B reason: While active Labor with wounds requires medical attention and may pose risks to both mother and baby, it does not directly correlate with an increased risk of myelomeningocele. Myelomeningocele is a congenital condition related to neural tube development early in pregnancy. The presence of wounds in active Labor may indicate complications such as trauma or infection, but these are not associated with neural tube defects.

Choice C reason: Premature rupture of membranes (PROM) is a condition where the amniotic sac ruptures before Labor begins, potentially leading to preterm birth and infections. While PROM is a concern and requires appropriate medical intervention, it is not directly linked to the development of myelomeningocele. The causes of PROM and neural tube defects like myelomeningocele are different, with PROM often related to issues with the amniotic sac or maternal infections.

Choice D reason: Precipitous Labor, which is an unusually rapid Labor and delivery, can pose risks such as trauma to the birth canal and complications for the newborn, but it is not associated with an increased risk of myelomeningocele. The speed of Labor and delivery is not a contributing factor to neural tube defects. Instead, precipitous Labor is more concerning for potential delivery complications and the need for rapid medical response.

A. Place the patient in a supine position. B. Encourage oral intake. C. Administer IV fluids as indicated. D. Evaluate fatal heart rate monitoring. E. Monitor maternal pain.

Correct Answer is ["C","D","E"]

Explanation

Choice A reason: Placing the patient in a supine position is not recommended in cases of suspected partial placental abruption. The supine position can compress the inferior vena cava, reducing blood flow to the placenta and potentially worsening the condition. Instead, a lateral position is generally preferred to enhance blood flow.

Choice B reason: Encouraging oral intake is not a priority action in this scenario. In cases of suspected placental abruption, the patient may need to undergo emergency medical procedures, and maintaining an empty stomach is often advised to prevent aspiration if anaesthesia is required.

Choice C reason: Administering IV fluids is crucial in managing suspected partial placental abruption. This intervention helps maintain maternal blood pressure and ensures adequate blood flow to the placenta, which is essential for fatal well-being. IV fluids can also be vital in managing any potential blood loss.

Choice D reason: Evaluating fatal heart rate monitoring is essential to assess the foetus’s well-being. Continuous monitoring allows the healthcare team to detect any signs of fatal distress, which can guide further medical interventions and decision-making processes.

Choice E reason: Monitoring maternal pain is a critical component of managing suspected partial placental abruption. Pain assessment helps determine the severity of the abruption and the effectiveness of pain management strategies. It also provides valuable information about the patient's condition and the need for additional interventions.

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The nurse is assessing the bottle-feeding technique of a new family. Which behaviour by the parents requires further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for patients on the Labor and delivery unit. Which patient will the nurse consider at higher risk for having a newborn with a myelomeningocele?

Correct Answer is A

Explanation

The nurse is caring for a primigravida at 36-weeks gestation admitted with suspected partial placental abruption. What actions will the nurse implement? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

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