The nurse is providing teaching for the mother of an infant who receives all of his nutrition through a nasogastric feeding tube. The nurse is reviewing interventions to promote growth and development. Which response from the mother indicates a need for further teaching?

"I will give him a pacifier during feeding time."

"We need to make sure he doesn't lose the desire to eat by mouth."

"We need to keep feeding time very quiet."

"Sucking produces saliva, which aids in digestion."

Answer and Explanation

The Correct Answer is A

A. "I will give him a pacifier during feeding time.": Giving a pacifier during feeding time may interfere with the infant's ability to coordinate sucking, swallowing, and breathing, especially if

they are receiving nutrition through a nasogastric tube. This response indicates a need for further teaching because pacifiers during feeding time could potentially disrupt the infant's feeding

pattern and may not be appropriate in this situation.

B. "We need to make sure he doesn't lose the desire to eat by mouth.": This response

demonstrates an understanding of the importance of maintaining the infant's oral feeding skills and indicates appropriate knowledge about promoting oral feeding while using a nasogastric

tube.

C. "We need to keep feeding time very quiet.": Keeping feeding time quiet can help reduce distractions and promote a calm environment, which may enhance feeding tolerance for the infant. This response reflects an understanding of strategies to facilitate feeding.

D. "Sucking produces saliva, which aids in digestion.": This response demonstrates knowledge about the benefits of sucking and saliva production during feeding, indicating an understanding of the infant's physiological needs during feeding.

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Correct Answer is C

Explanation

A. The child performs his bedtime preparations autonomously: While autonomy is a key aspect of development, it doesn't directly align with Erikson's stage of industry versus inferiority, which focuses more on the child's sense of competence and mastery of tasks.

B. The child is developing a consciencE. Conscience development is more closely associated with Erikson's previous stage of initiative versus guilt, where children begin to internalize societal standards and expectations.

C. The child signs up for after-school activities: Engaging in after-school activities involves

actively seeking out opportunities for skill development and social interaction, demonstrating the child's initiative and industry.

D. The child becomes aware of the opposite sex: Awareness of gender differences typically

emerges during middle childhood but is not directly related to Erikson's stage of industry versus inferiority, which emphasizes the development of a sense of competence and productivity in

mastering tasks.

A. The heart triples in size over the first year of lifE. the average pulse rate decreases from 120 to 140 in the newborn to about 100 in the 1-year-old. B. Most infants triple their birth weight by 4 to 6 months of age and quadruple their birth weight by the time they are 1 year old. C. By 6 months of age, the infant's brain weighs half that of the adult brain; at age 12 months, the brain weighs 2.5 times what it did at birth. D. The head circumference increases rapidly during the first 6 months: the average increase is about 1 in per month.

Correct Answer is B

Explanation

A. The heart triples in size over the first year of lifE. While cardiac growth occurs during infancy, the described change is not specific to a developmental milestone.

B. Most infants triple their birth weight by 4 to 6 months of age and quadruple their birth weight by the time they are 1 year olD. This statement accurately describes a significant developmental milestone related to physical growth during infancy.

C. By 6 months of age, the infant's brain weighs half that of the adult brain; at age 12 months, the brain weighs 2.5 times what it did at birth: This statement describes brain growth rather than a

milestone related to physical growth or development.

D. The head circumference increases rapidly during the first 6 months: the average increase is about 1 in per month: While head circumference growth is important, it does not specifically relate to the described developmental milestone of weight gain during infancy.

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The nurse is providing teaching for the mother of an infant who receives all of his nutrition through a nasogastric feeding tube. The nurse is reviewing interventions to promote growth and development. Which response from the mother indicates a need for further teaching?

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Correct Answer is C

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Correct Answer is B

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