The nurse is teaching the family with a child with cerebral palsy ...

[magmichele12]

The nurse is teaching the family with a child with cerebral palsy (CP) strategies to prevent constipation. What should the nurse include in the teaching session? (Select all that apply.)
 
  a. Increase fluid intake.
  b. Increase fiber in the diet.
  c. Administer stool softeners daily as prescribed.
  d. Increase the amount of dairy products in the diet.
  e. Allow the child to decide when to try to have a bowel movement.

Question 2

A woman in premature labor delivers an extremely lowbirth-weight (ELBW) infant. Transport to a neonatal intensive care unit is indicated. The nurse explains that which level of service is needed?
 
  a. Level I
  b. Level IA
  c. Level II
  d. Level IIIB

[bd5255]

Answer to Question 1

ANS: A, B, C
A variety of factors, including decreased mobility, decreased fluid intake, a fear of toileting, poor positioning on the toilet, and lack of fiber intake may be responsible for constipation for a child with CP. Stool softeners, laxatives, and a bowel management program may be required to prevent chronic constipation. The child should be placed on the toilet or encouraged to have a bowel movement at the same time each day. Dairy products can cause constipation

Answer to Question 2

ANS: D
A level IIIB neonatal unit has the capability of providing care for ELBW infants, including high-frequency ventilation and on-site access to medical subspecialties and pediatric surgery. A level I facility manages normal maternal and newborn care. Infants at less than 35 weeks of gestation are stabilized and transported to a facility that can provide appropriate care. A level IA facility does not exist. Level II facilities provide care for infants born at 32 weeks of gestation and weighing more than 1500 g. If the infant is ill, the health problems are expected to resolve rapidly and are not anticipated to require specialty care.