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The nurse is continuing to care for the infant.

The nurse is providing teaching to the parents of the infant.

For each instruction, click to specify if the instruction is appropriate or contraindicated for the infant.

A.

Feed infant in a supine position

B.

Offer smaller, more frequent feedings

C.

Thicken formula feedings with rice cereal

D.

Place infant in a side lying position for sleep.

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

Feed infant in a supine position: Contraindicated

  • Supine feeding increases the risk of aspiration and exacerbates reflux.

Offer smaller, more frequent feedings: Appropriate

  • Smaller, frequent feedings reduce gastric distension and reflux episodes.

Thicken formula feedings with rice cereal: Appropriate

  • Thickened feedings can help reduce reflux by increasing the weight of the stomach contents.

Place infant in a side-lying position for sleep: Contraindicated

  • The recommended sleep position for infants is supine (on the back) to reduce the risk of sudden infant death syndrome (SIDS).


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Related Questions

Correct Answer is C

Explanation

A. "I will give lansoprazole 30 minutes after their feeding." Lansoprazole should be administered 30 minutes before feedings to effectively reduce stomach acid.
B. "I will lay my baby on her side after feedings." Side-lying positioning increases the risk of sudden infant death syndrome (SIDS). The infant should be placed on their back.
C. "I will add rice cereal to my baby's feedings." Adding rice cereal can thicken the formula, helping to reduce reflux episodes.
D. "I will use a nipple that has a wide base to feed them." While wide-based nipples can be helpful for latch during breastfeeding, they do not significantly impact GER management.

Correct Answer is B

Explanation

A. Administer aspirin for pain. Aspirin increases the risk of bleeding and is contraindicated in clients with hemophilia. Acetaminophen is recommended instead.
B. Place knee pads on the child. Protective gear like knee pads can help prevent joint injuries, which are common in toddlers with hemophilia.
C. Perform passive range-of-motion exercises following an acute episode. Active range-of-motion exercises are preferred after an acute episode to prevent joint damage. Passive exercises can exacerbate bleeding.
D. Use a firm-bristled toothbrush for dental care. A soft-bristled toothbrush should be used to minimize gum bleeding.

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