Author Question: After teaching the mother of a 2-month-old with a congenital heart defect complicated by heart ... (Read 105 times)

colton · **on:** Jun 28, 2018

After teaching the mother of a 2-month-old with a congenital heart defect complicated by heart failure about nutrition, which statement by the mother indicates a need for further teaching?

A) The baby may need up to 150 calories/kg per day.
B) Small frequent feeds are best if tolerated.
C) The baby will need to drink formula, not breast milk.
D) Gavage feedings may be required for now.

Question 2

An infant with severe meconium aspiration syndrome is not responding to conventional treatment. Which highly technical method of treatment may be available at a level III facility for use with this infant?

a. Extracorporeal membrane oxygenation
b. Respiratory support with ventilator
c. Insertion of laryngoscope and suctioning of the trachea
d. Insertion of an endotracheal tube

pikon · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

C

Answer to Question 2

A
Option a is a highly technical method that oxygenates the blood while bypassing the lungs, allowing the infant's lungs to rest and recover. The infant is probably already connected to a ventilator. Insertion of laryngoscope and tracheal suctioning are performed after birth before the infant takes the first breath. An endotracheal tube will be in place to facilitate deep tracheal suctioning and ventilation.