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 D
Explanation
A. Negative behaviors characterized by the need for autonomy: While toddlers may exhibit negative behaviors as they assert their independence, this is not the defining characteristic of psychosocial development during this stage.
B. Demonstrations of sexual curiosity: Sexual curiosity typically emerges during the preschool and early school-age years rather than during toddlerhood.
C. Imaginary playmates: Imaginary playmates are more commonly seen during the preschool years, not necessarily during toddlerhood.
D. Erikson's stage of initiative versus guilt: This stage, occurring during early childhood (ages 3 to 6 years), is characterized by the child's growing sense of initiative in exploring and interacting with the world balanced against the potential for feeling guilty about their actions. It involves developing a sense of purpose and direction in life while navigating feelings of competence versus inadequacy.
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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