Author Question: A mother who intended to breastfeed has given birth to an infant with a cleft palate. Nursing ... (Read 33 times)

jilianpiloj · **on:** Jun 28, 2018

A mother who intended to breastfeed has given birth to an infant with a cleft palate. Nursing interventions should include (Select all that apply):

a. Giving medication to suppress lactation.
b. Encouraging and helping mother to breastfeed.
c. Teaching mother to feed breast milk by gavage.
d. Recommending use of a breast pump to maintain lactation until infant can suck.

Question 2

A child has a nasogastric (NG) tube to continuous low intermittent suction. The physician's prescription is to replace the previous 4-hour NG output with a normal saline piggyback over a 2-hour period.

The NG output for the previous 4 hours totaled 50 mL. What milliliter/hour rate should the nurse administer to replace with a normal saline piggyback? _____ Record your answer as a whole number.
What will be an ideal response?

Silverbeard98 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B, D
The mother who wishes to breastfeed may need encouragement and support because the defect does present some logistical issues. The nipple must be positioned and stabilized well back in the infant's oral cavity so that the tongue action facilitates milk expression. The suction required to stimulate milk, absent initially, may be useful before nursing to stimulate the let-down reflex. Because breastfeeding is an option, if the mother wishes to breastfeed, medications should not be given to suppress lactation. Because breastfeeding can usually be accomplished, gavage feedings are not indicated.

Answer to Question 2

ANS:
25

The previous total 4-hour output was 50 mL. To run the 50 mL over a 2-hour period, the nurse would divide 50 by 2 = 25. The normal saline replacement fluid would be run at 25 mL/hr.