Nokea
A newborn who had a surgical repair of a tracheoesophageal fistula (TEF) is started on oral feedings. Which of the following should the nurse include in the teaching plan for the mother about oral feedings?
- A. They are better tolerated when larger, but less frequent feedings are offered.
- B. They should be offered on a feeding schedule to help the infant accept the feedings more readily.
- C. They are best accepted by the infant when offered by the same nurse or by the infant's mother.
- D. They are best planned in conjunction with observations of the infant's behavior.
Correct Answer: D
Rationale: Observing the infant's behavior ensures feedings align with hunger cues, promoting tolerance.
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When developing the plan of care for a neonate who was diagnosed with an anorectal malformation and who subsequently underwent surgery, which of the following would be most helpful in facilitating parent-infant bonding?
- A. Explaining to the parents that they can visit at any time.
- B. Encouraging the parents to hold their infant.
- C. Asking the parents to help monitor the infant's intake and output.
- D. Helping the parents plan for their infant's discharge.
Correct Answer: B
Rationale: Physical contact through holding fosters bonding and emotional connection.
The nurse should teach the mother of a child who has a new cast for a fractured radius to do which of the following for the first few days at home?
- A. Use a hair dryer to dry the cast more quickly.
- B. Have the child refrain from strenuous activities.
- C. Check movement and sensation of the child's fingers once a day.
- D. Administer acetaminophen every 8 to 12 hours for discomfort.
Correct Answer: B
Rationale: Refraining from strenuous activities prevents damage to the cast and supports healing during the initial recovery period.
The nurse is caring for a child who has just returned from surgery for repair of a cleft lip. In which order, from first to last, should the nurse do the following?
- A. Maintain a clear and adequate airway.
- B. Maintain sufficient fluid and caloric intake.
- C. Provide emotional comfort to the child.
- D. Apply elbow restraints.
- E. Teach the parents proper feeding methods.
Correct Answer: A,B,C,D,E
Rationale: Postoperative care prioritizes airway maintenance to ensure breathing, followed by fluid and caloric intake for recovery, emotional comfort to reduce stress, elbow restraints to protect the surgical site, and finally teaching parents feeding methods for ongoing care.
Which statements by the mother of a toddler should lead the nurse to suspect that the child is at risk for iron deficiency anemia?
- A. He drinks over three cups of milk per day.
- B. I can't keep enough apple juice in the house; he must drink over 10 oz per day.
- C. He refuses to eat more than two different kinds of vegetables.
- D. He doesn't like meat; I don't think that he will eat small amounts of it.
- E. He sleeps 12 hours every night and takes a 2-hour nap.
Correct Answer: A,C,D
Rationale: Excess milk, limited vegetables, and low meat intake reduce iron intake, increasing anemia risk. Apple juice and sleep patterns are unrelated.
A mother asks, "How should I bathe my baby now that he's had surgery for his inguinal hernia?" Which of the following instructions should the nurse give the mother?
- A. Clean his face and diaper area for 2 weeks.
- B. Use sterile sponges to cleanse the inguinal incision.
- C. Give him a sponge bath daily for 1 week.
- D. Give the infant full tub baths every day.
Correct Answer: C
Rationale: Sponge baths for 1 week keep the incision dry and reduce infection risk.