The mother of a 3-month-old infant states that her baby has not ...

[folubunmi]

The mother of a 3-month-old infant states that her baby has not been gaining weight. With further questioning, the nurse finds that the infant falls asleep after nursing and wakes up after a short time, hungry again.
 
  What other information would the nurse want to have?
  a.
  Infant's sleeping position
  b.
  Sibling history of eating disorders
  c.
  Amount of background noise when eating
  d.
  Presence of dyspnea or diaphoresis when sucking

Question 2

In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?
 
  a. Family history, hypertension, stress, and age
  b. Personality type, high cholesterol, diabetes, and smoking
  c. Smoking, hypertension, obesity, diabetes, and high cholesterol
  d. Alcohol consumption, obesity, diabetes, stress, and high cholesterol

[aliotak]

Answer to Question 1

ANS: D
To screen for heart disease in an infant, the focus should be on feeding. Fatigue during feeding should be noted. An infant with heart failure takes fewer ounces each feeding, becomes dyspneic with sucking, may be diaphoretic, and then falls into exhausted sleep and awakens after a short time hungry again.

Answer to Question 2

ANS: C
To assess for major risk factors of coronary artery disease, the nurse should collect data regarding elevated serum cholesterol, elevated blood pressure, blood glucose levels above 100 mg/dL or known diabetes mellitus, obesity, any length of hormone replacement therapy for post menopausal women, cigarette smoking, and low activity level.