Which statement indicates a child's family needs further instruction about the postoperative care following a pyloromyotomy?

"My child will likely experience long-term complications, such as difficulty eating.”.

"A few hours after surgery, my child will receive small, frequent feedings of Pedialyte.”.

"My child will most likely have a small incision from the laparoscopic surgery.”.

"I can breastfeed my child if the Pedialyte feedings are tolerated after 24 hours.".

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The statement "My child will likely experience long-term complications, such as difficulty eating”. indicates a misunderstanding about the postoperative care following a pyloromyotomy. Pyloromyotomy is a surgical procedure to treat pyloric stenosis, and the goal is to relieve the obstruction causing feeding difficulties. Long-term complications such as difficulty eating are not expected outcomes. The rationale behind this is that pyloromyotomy aims to improve feeding and resolve the obstruction, leading to improved eating habits.

Choice B rationale:

The statement "A few hours after surgery, my child will receive small, frequent feedings of Pedialyte”. is correct. After a pyloromyotomy, it's important to gradually reintroduce feeding. This statement demonstrates the caregiver's understanding of the postoperative feeding plan, which typically involves starting with clear fluids like Pedialyte.

Choice C rationale:

The statement "My child will most likely have a small incision from the laparoscopic surgery”. is incorrect. Pyloromyotomy is usually performed with a small incision, but it is not typically done laparoscopically. Instead, an open surgical approach is more common due to the nature of the procedure. Laparoscopy is not the usual method for this surgery.

Choice D rationale:

The statement "I can breastfeed my child if the Pedialyte feedings are tolerated after 24 hours”. is incorrect. After a pyloromyotomy, it's essential to follow a gradual feeding progression under medical guidance. Breastfeeding can be reintroduced gradually as the child tolerates oral feedings, but it's not solely dependent on 24 hours of Pedialyte tolerance.

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Correct Answer is ["C","D"]

Explanation

Choice A rationale:

The varicella vaccine is not contraindicated solely based on Down Syndrome. It is important for these children to receive immunizations due to potential increased susceptibility to infections.

Choice B rationale:

A 6-month-old developmentally appropriate infant should receive the varicella vaccine according to the recommended schedule. There is no contraindication for this population.

Choice C rationale:

The varicella vaccine might be contraindicated for a child with autism due to concerns about adverse reactions, as these children might have sensitivities to certain vaccine components.

Choice D rationale:

The varicella vaccine should be contraindicated for a 10-year-old with acquired immune deficiency syndrome (AIDS) due to their compromised immune system. Live vaccines like varicella are usually avoided in immunocompromised individuals.

Choice E rationale:

A 12-year-old child with an arm fracture can still receive the varicella vaccine as it is not contraindicated based solely on this condition.

A. "I should refeed any thrust out food to my baby.". B. "I should avoid using skin lubricants on my baby.". C. "I should suction my baby's nose before feedings.". D. "I should use minimal soap when bathing my baby.".

Correct Answer is A

Explanation

Choice A rationale:

Refeeding any thrust out food to the baby is incorrect as it increases the risk of choking and aspiration. Parents should discard food that the baby has pushed out to prevent potential harm.

Choice B rationale:

Avoiding the use of skin lubricants on the baby is appropriate as these products might irritate the baby's sensitive skin.

Choice C rationale:

Suctioning the baby's nose before feedings is important to ensure proper breathing and effective feeding, especially in infants with Down Syndrome who may have nasal congestion.

Choice D rationale:

Using minimal soap when bathing the baby is appropriate to prevent skin irritation. Babies have delicate skin, and excessive soap can lead to dryness and discomfort.

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Which statement indicates a child's family needs further instruction about the postoperative care following a pyloromyotomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

Correct Answer is ["C","D"]

Explanation

Which statement by the parent of a 10-month-old infant with Down Syndrome indicates the need for further instruction about the child's home care needs?

Correct Answer is A

Explanation

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