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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Maximizing learning potential: While education is important during adolescence, the priority focus of guidance regarding healthy lifestyles typically centers around behaviors that directly
impact physical and emotional well-being.
B. Reducing risk-taking behavior: Adolescents are prone to engaging in risky behaviors such as substance use, unsafe sexual practices, and reckless driving. Guidance should emphasize
strategies to reduce these behaviors and promote safer choices.
C. Promoting adequate physical growth: Physical growth is largely determined by genetics and occurs earlier in life. While maintaining overall health, including physical activity and nutrition, is important during adolescence, it is not typically the primary focus of guidance regarding
healthy lifestyles at this stage.
D. Teaching personal hygiene routines: Personal hygiene is important for overall health, but it is just one aspect of a healthy lifestyle. While adolescents should be encouraged to practice good hygiene habits, guidance should encompass a broader range of behaviors that contribute to overall well-being, including mental health and risk reduction.
Correct Answer is C
Explanation
A. Carotid artery: The carotid artery is not typically used to assess heart rate in infants due to its location and difficulty in palpation.
B. Radial artery: The radial artery is not typically used to assess heart rate in infants, especially in non-cooperative or newborn infants.
C. Apex of the heart: Assessing the heart rate by auscultating the apex of the heart with a stethoscope is the most accurate method for infants.
D. Brachial artery: The brachial artery is not typically used to assess heart rate in infants. It is commonly used to measure blood pressure.
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