The nurse is caring for an infant with a congenital heart defect. ...

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The nurse is caring for an infant with a congenital heart defect. The nurse should carry out which of the following interventions:
 
  a. Provide frequent bedding changes to reduce risk of infection
  b. Ensure that the child is maintained on a strict feeding schedule to maintain caloric intake
  c. The infant should be fed with a nipple that has a small hole to prevent aspiration
  d. The nurse should organize care of the infant to avoid disturbing the infant

Question 2

Which of the following is the first question the nurse asks on accepting an assignment to care for a mother and a baby who has a cleft lip and a cleft palate?
 
  a. Is my care affected by the child's appearance?
  b. How does the mother feel about this baby?
  c. Is the father going to help with this baby's care?
  d. How bad are the cleft lip and the cleft palate?

[Expo]

Answer to Question 1

D
The nurse needs to disturb the baby as little as possible to conserve energy. The child is fed early if awake early and is fed late if sleeping. If caloric intake becomes a problem, IV or gavage feedings are used. The infant is fed with a nipple that allows sucking with minimum effort, so a nipple with a large hole is used.

Answer to Question 2

A

Feedback
A Correct. The first question the nurse asks on accepting an assignment to care for a mother and a baby who has a cleft lip and a cleft palate should be Is my care affected by the baby's appearance? It is important for the nurse to be aware of her or his feelings about caring for a baby with a facial disfigurement. The nurse may unconsciously consider the disfigured baby as less desirable and may spend less time interacting with this baby.
B Incorrect. The first question the nurse asks on accepting an assignment to care for a mother and a baby who has a cleft lip and a cleft palate is not How does the mother feel about this baby?
C Incorrect. The first question the nurse asks on accepting an assignment to care for a mother and a baby who has a cleft lip and a cleft palate is not Is the father going to help with this baby's care?
D Incorrect. The first question the nurse asks on accepting an assignment to care for a mother and a baby who has a cleft lip and a cleft palate is not How bad are the cleft lip and the cleft palate?