Nokea
A 4-month-old infant is discharged home after surgery for the repair of a cleft lip. What should instructions to the parents include?
- A. Provide crib toys for distraction
- B. Breast- or bottle-feeding can begin immediately
- C. Give pain medication to the infant to minimize crying
- D. Leave the infant in the crib at all times to prevent suture strain
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The parents of a 2-month-old boy are concerned about spoiling their son by picking him up when he cries. What is the nurse's best response?
- A. Allow him to cry for no longer than 15 minutes and then pick him up
- B. Babies need comforting and cuddling. Meeting these needs will not spoil him
- C. Babies this young cry when they are hungry. Try feeding him when he cries
- D. If he isn't soiled or wet, leave him, and he'll cry himself to sleep
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 10-month-old infant is diagnosed with gastroesophageal reflux. An esophageal (pH) probe monitor is ordered. What explanation for the purpose of the esophageal probe should the nurse provide to the parents?
- A. Assist in the passage of formula through the esophagus
- B. Identify the number of reflux episodes that are occurring
- C. Determine the time it takes for the stomach to empty its contents
- D. Monitor the pH within the stomach
Correct Answer: B
Rationale: The correct answer is B. The esophageal pH probe is used to identify the frequency and severity of reflux episodes by measuring the pH in the esophagus. Choice A is incorrect because the probe does not assist in the passage of formula through the esophagus. Choice C is incorrect as determining the time it takes for the stomach to empty its contents would require a different procedure. Choice D is incorrect as the esophageal pH probe monitors the pH in the esophagus, not the stomach.
Which statement regarding bottle mouth caries requires further teaching?
- A. Caries can be decreased by putting an infant to bed with a bottle of milk or sweetened juice
- B. Eliminating the bedtime bottle or substituting water is recommended
- C. Sugar pools within the oral cavity cause severe decay
- D. It is often seen in children between 18 months and 3 years
Correct Answer: A
Rationale: The correct answer is A. Putting an infant to bed with a bottle of milk or sweetened juice increases the risk of bottle mouth caries rather than decreasing it. This statement requires further teaching as it provides incorrect information. Choice B is correct as eliminating the bedtime bottle or substituting water is recommended to prevent bottle mouth caries. Choice C is also correct as sugar pooling within the oral cavity can indeed cause severe decay. Choice D is correct as bottle mouth caries is often observed in children between 18 months and 3 years.
At a well-child visit, parents ask the nurse how to know if a daycare facility is a good choice for their infant. Which observation should the nurse stress as especially important to consider when making the selection?
- A. Developmentally appropriate toys
- B. Nutritious snacks served to the children
- C. Handwashing by providers after diaper changes
- D. Certified caregivers for each of the age groups at the facility
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
At which age do most infants begin to fear strangers?
- A. 2 months
- B. 4 months
- C. 6 months
- D. 12 months
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.