Which is the primary goal for a newborn with a cleft of the soft palate?
Prevent ear infections
Establish feeding and sucking
Repair the cleft palate
Help the mother bond with the baby
The Correct Answer is B
A. Prevent ear infections: While individuals with cleft palates are at increased risk of ear infections, the primary immediate goal is not ear infection prevention.
B. Establish feeding and sucking.
Clefts of the soft palate can make it challenging for the baby to create a proper seal for sucking and feeding. Ensuring that the baby can feed effectively is a crucial initial goal. This may involve special nipples, bottles, or breastfeeding techniques to help the baby get proper nutrition.
While eventually repairing the cleft palate is an important part of the overall care plan, the immediate goal is to ensure that the baby can feed and gain weight properly.
C. Repair the cleft palate: Surgical repair of the cleft palate is typically done when the child is older. The immediate concern for a newborn is feeding.
D. Help the mother bond with the baby: This is an important aspect of care but not the primary goal for the baby's health and well-being. Bonding can occur while addressing the baby's feeding needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dress the child in woolen clothes during cold months: Wool can be irritating to the skin and may worsen eczema symptoms. Cotton or soft fabrics are typically better choices.
B. Launder the child's clothing with fabric softener: Fabric softeners often contain chemicals that can irritate the skin. It's best to use fragrance-free and hypoallergenic detergents and skip fabric softeners.
C. Apply a topical corticosteroid ointment to the affected area.
When teaching a parent of a preschooler with eczema, it's essential to provide guidance on appropriate treatments. Applying a topical corticosteroid ointment is an effective approach for managing eczema symptoms. These medications can help reduce inflammation and itching, which are common in eczema. However, it's crucial for the parent to use them as directed by a healthcare provider and not excessively.
D. Give the child a bubble bath every day: Frequent bathing, especially with bubble baths, can dry out the skin and worsen eczema. It's usually better to limit baths and use gentle, fragrance-free cleansers.
Correct Answer is ["B","C","D"]
Explanation
A. Metabolic alkalosis is not a common acid-base imbalance associated with ARF. Instead, metabolic acidosis is more commonly observed due to the retention of metabolic waste products.
B. Water and sodium (Na) retention: In ARF, the kidneys are unable to effectively filter and excrete waste products and excess fluids. This leads to the retention of water and sodium, contributing to fluid overload.
C. Anemia: ARF can lead to decreased erythropoietin production by the kidneys, which can result in anemia due to reduced red blood cell production.
D. Hyperkalemia: The impaired kidney function in ARF may result in the inability to regulate potassium levels. Elevated levels of potassium (hyperkalemia) can be a dangerous complication.
E. Increased urinary output is not a typical finding in ARF. Instead, the hallmark of ARF is a reduction in urine output or oliguria.
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