A 4-month-old infant has gastroesophageal reflux (GER) but is ...

[imowrer]

A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other complications. What should the nurse suggest to minimize reflux?
 
  a. Place in Trendelenburg position after eating.
  b. Thicken formula with rice cereal.
  c. Give continuous nasogastric tube feedings.
  d. Give larger, less frequent feedings.

Question 2

When teaching parents about mandatory newborn screening, it is important for the nurse to explain that the main purpose is to
 
  a. Keep the state records updated.
  b. Allow accurate statistical information.
  c. Document the number of births.
  d. Recognize and treat newborn disorders early.

[orangecrush]

Answer to Question 1

B
Feedback
A Placing the child in a Trendelenburg position increases the reflux.
B Small frequent feedings of formula combined with 1 teaspoon to 1 tablespoon of
rice cereal per ounce of formula has been recommended. Milk thickening agents
have been shown to decrease the number of episodes of vomiting and to increase
the caloric density of the formula. This may benefit infants who are underweight
as a result of GERD.
C Continuous nasogastric feedings are reserved for infants with severe reflux and
failure to thrive.
D Smaller, more frequent feedings are recommended in reflux.

Answer to Question 2

D
Feedback
A This is not the main reason for the screening test.
B This is not the main reason for the screening test.
C The number of births does not come from the newborn screening test.
D Early treatment of disorders will prevent morbidity associated with inborn errors
of metabolism or other genetic conditions.