A newborn is diagnosed with a meconium plug. Which interventions ...

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A newborn is diagnosed with a meconium plug. Which interventions should the nurse prepare to provide to help resolve this health problem? (Select all that apply.)
 
  A) Administration of a barium enema
  B) Administration of a gastrografin enema
  C) Administration of 5 ml of saline enema
  D) Administration of 10 ml of tap water enema
  E) Rectal instillation of acetylcysteine (Mucomyst)

Question 2

The nurse is evaluating the outcome of teaching for a baby born with torticollis. Which observation indicates that teaching has been successful?
 
  A) The child looks in the direction of the affected muscle.
  B) The child's shoulder of the affected muscle is elevated.
  C) The child looks in the direction opposite of the affected muscle.
  D) The child rolls onto the side to look from the direction opposite of the affected muscle.

[Harbringer]

Answer to Question 1

A, B, C, E
Feedback:
: Treatment for a meconium plug includes the administration of 5 ml saline enema, rectal instillation of acetylcysteine (Mucomyst), a gastrografin enema, and a barium enema used to diagnose the disorder. A tap water enema should never be used in newborns because it can cause water intoxication.

Answer to Question 2

A
Feedback:
: To relieve torticollis, parents need to begin a program of passive stretching exercises, laying the infant on a flat surface and rotating the head through a full range of motion. Parents should always encourage the infant to look in the direction of the affected muscle. They can encourage this by holding the child to feed in such a position the child must look in the desired direction. If manual stretching is begun early and performed consistently by parents, further treatment usually is not necessary. If extreme injury to the muscle occurred, torticollis can lead to the continued elevation of one shoulder. Any observations where the child is looking in the direction opposite of the affected muscle indicates that teaching has not been successful.

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Thank you

[Harbringer]

Happy to help you