Author Question: The mother of a six-week-old infant tells the nurse that her baby has had colic for several days, ... (Read 109 times)

ahriuashd · **on:** Jun 28, 2018

The mother of a six-week-old infant tells the nurse that her baby has had colic for several days, crying for up to three hours and drawing his legs up on his abdomen. The mother says she is at wits end and wonders what she can do.

The nurse learns that the infant is formula fed and gaining weight satisfactorily. The nurse would recommend: Standard Text: Select all that apply. 1. Breastfeeding the infant.
2. Switching to a bottle that has a collapsible bag inside.
3. Putting the infant in a baby swing after feeding.
4. Burping the baby more frequently.
5. Giving the baby a suppository once each morning.

Question 2

An infant has been diagnosed with a mild cyanotic heart defect. Surgery to correct the defect will not be performed for at least two years. The nurse teaches the parents that a child with a mild cyanotic heart defect should:

1. Maintain normal activity.
2. Be placed on bedrest.
3. Not be given antipyretics.
4. Have a low-grade fever until the defect is repaired.

wtf444 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

2,3,4
Rationale 1: The infant is six weeks old. Initiating breastfeeding is not a good option at this time.
Rationale 2: This would reduce the amount of air that the baby swallows.
Rationale 3: The motion may reduce the abdominal discomfort.
Rationale 4: This helps the infant expel gas, which is a factor contributing to colic.
Rationale 5: Suppositories would not be recommended.
Global Rationale:

Answer to Question 2

1
Rationale:
1. A child with a mild cyanotic heart defect should be treated as normally as possible without activity adjustment.
2. Bedrest would not be recommended.
3. Fevers are treated with antipyretics so that dehydration is avoided.
4. Low-grade fever is not a normal finding in a child with a mild cyanotic heart defect, and could be a sign of infective endocarditis.
Implementation
Health Promotion and Maintenance
Application
Learning Outcome 26.4 Develop a nursing care plan for the child with a congenital heart defect cared for at home prior to corrective surgery.