Nokea
Which statement indicates that parents understand how to feed their infant who had a surgical repair for a cleft lip?
- A. We are feeding the baby with a dropper for 2 weeks.'
- B. We resumed bottle feeding after discharge.'
- C. We started the baby on solid food yesterday.'
- D. The baby is drinking well from a straw.'
Correct Answer: A
Rationale: The infant is fed with a dropper until the cleft lip incision is completely healed, about 1 to 2 weeks after surgery.
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What will the nurse include in the plan of care when caring for an infant with an intracranial hemorrhage?
- A. Keep positioned with head elevated.
- B. Feed slowly to reduce possibility of vomiting.
- C. Stimulate often to maintain level of consciousness.
- D. Hold and coddle frequently to stimulate.
- E. Observe for increased intracranial pressure.
Correct Answer: A,B,E
Rationale: Care includes keeping the head elevated, feeding slowly to prevent vomiting, and monitoring for increased intracranial pressure, while avoiding stimulation.
What assessment findings can the nurse anticipate?
- A. High blood glucose levels
- B. Weight of 9 pounds or more
- C. Decreased subcutaneous fat
- D. Hypocalcemia
- E. Hyperbilirubinemia
Correct Answer: B,D,E
Rationale: Macrosomic newborns of diabetic mothers often weigh over 9 pounds and are prone to hypocalcemia and hyperbilirubinemia due to metabolic changes.
What formula and/or diet should the nurse suggest?
- A. Lifelong high-protein diet
- B. A formula that is low in the amino acid leucine
- C. A soy-based formula
- D. Substitute Lofenalac for some protein foods
Correct Answer: D
Rationale: Lofenalac, a synthetic food low in phenylalanine, is substituted for natural protein foods to support growth in infants with phenylketonuria.
What nursing action is the most appropriate?
- A. Feed solid foods with the spoon at the side of the mouth.
- B. Puree foods and offer them through a straw.
- C. Place small bites of food in the mouth with a tongue blade.
- D. Offer small, frequent meals of finger foods.
Correct Answer: A
Rationale: Feeding with the side of a spoon at the side of the mouth protects the operative site of a cleft palate repair.
The nurse explains that what is the optimal time for testing for phenylketonuria?
- A. In the first 24 hours of life
- B. After 2 to 3 days
- C. At 4 to 6 weeks of age
- D. At 2 months of age
Correct Answer: B
Rationale: Testing for phenylketonuria at 48 to 72 hours allows sufficient protein intake to reduce false-negative results.