An infant is to receive gastrostomy feedings. What intervention ...

[WhattoUnderstand]

An infant is to receive gastrostomy feedings. What intervention should the nurse institute to prevent bloating, gastrointestinal reflux into the esophagus, vomiting, and respiratory com-promise?
 
  1. Rapid bolusing of the entire amount in 15 minutes
  2. Warm cloths to the abdomen for the first 10 minutes
  3. Slow, small, warm bolus feedings over 30 minutes
  4. Cold, medium bolus feedings over 20 minutes

Question 2

Which stage of labor varies the most in length?
 
  1. First
  2. Second
  3. Third
  4. Fourth

[strudel15]

Answer to Question 1

3
1. Incorrect. This would most likely lead to the adverse reactions listed above.
2. Incorrect. Temperature stability in the newborn is critical. This type of warming would not be appropriate because it is not a thermoregulated environment. Additionally, abdominal warming is not indicated with feedings of any kind.
3. Correct. Feedings by gravity are done slowly over 20- to 30-minute periods to prevent adverse reactions.
4. Incorrect. Small feedings at room temperature are recommended to prevent adverse reac-tions.

Answer to Question 2

1
1. Correct. The first stage of labor is considered to last from the onset of regular uterine contractions to full dilation of the cervix. The first stage is much longer than the second and third combined. In a first-time pregnancy, the first stage of labor can take up to 20 hours.
2. Incorrect. The second stage of labor lasts from the time the cervix is fully dilated to the birth of the fetus. The average length for a multiparous woman is 20 minutes, and 50 minutes for a nulliparous woman.
3. Incorrect. The third stage of labor lasts from the birth of the fetus until the placenta is de-livered. The duration of the third stage of labor may be as short as 3 minutes or up to 1 hour.
4. Incorrect. The fourth stage of labor, recovery, lasts about 2 hours after the delivery of the placenta.

[WhattoUnderstand]

Correct answers!

[strudel15]

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