Which of the following should the nurse include in the discharge teaching for a parent of an infant with a repaired cleft lip to promote healing?
- A. Avoid pacifier use for 2 weeks.
- B. Apply antibiotic ointment daily.
- C. Keep the infant in a supine position.
- D. Offer large, frequent feedings.
Correct Answer: A
Rationale: Avoiding pacifier use prevents stress on the suture line, promoting healing.
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The nurse is caring for an infant with a temporary colostomy due to Hirschsprung's disease. Which of the following indicates proper stoma care?
- A. Cleaning the stoma with alcohol.
- B. Keeping the stoma dry and exposed.
- C. Applying a barrier cream around the stoma.
- D. Covering the stoma with a sterile dressing.
Correct Answer: C
Rationale: A barrier cream protects the skin around the stoma from irritation.
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.
To assess a 9-year-old's social development, the nurse asks the parent if the child:
- A. Thinks independently.
- B. Is able to organize and plan.
- C. Has a best friend.
- D. Enjoys active play.
Correct Answer: C
Rationale: Having a best friend indicates healthy social development at 9 years.
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.
Which of the following diet plans would be appropriate for the nurse to discuss with the family of a child with acute renal failure?
- A. High carbohydrate and protein.
- B. High fat and carbohydrate.
- C. Low fat and protein.
- D. Low in carbohydrate and fat.
Correct Answer: A
Rationale: High carb/protein supports nutritional needs.
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