The nurse is teaching the parents of a four-month-old infant ...

[ENagel]

The nurse is teaching the parents of a four-month-old infant about good feeding habits.
 
  The nurse emphasizes the importance of holding the baby during feedings and not letting the infant go to sleep with the bottle, as this is most likely to increase the incidence of both dental caries and: 1. Aspiration.
  2. Otitis media.
  3. Malocclusion problems.
  4. Sleeping disorders.

Question 2

A mother who is bottle-feeding her newborn requests to be discharged 24 hours post-delivery, since the mother also has twin 2-year-olds at home. The nurse should schedule the office visit for the newborn on which of these days?
 
  1. Within 48 hours of discharge
 
  2. Within 1 week of discharge
 
  3. Within 2 weeks of discharge
 
  4. When the infant is 1 month old

[phuda]

Answer to Question 1

2
Rationale 1: There have been limited data to date showing a positive correlation to bottle propping and increased risk of aspiration.
Rationale 2: The infant's Eustachian tube, which connects the throat to the middle ear, is shorter and straighter than an adult's. When babies lie flat to feed, milk can easily enter the middle ear and increase the risk for otitis media.
Rationale 3: The primary concerns related to bottle propping are dental caries and otitis media. Poor dental alignment is not a significant problem.
Rationale 4: Sleeping disorders have not been found to be related to bottle propping.
Global Rationale:

Answer to Question 2

1

Rationale:

1. Newborns discharged before 48 hours old should be seen within 48 hours of discharge.
2. Waiting 1 or 2 weeks after discharge of a 24-hour-old increases the chance that several common newborn conditions can go undiagnosed (e.g., jaundice and failure to gain weight).
3. Waiting 1 or 2 weeks after discharge of a 24-hour-old increases the chance that several common newborn conditions can go undiagnosed (e.g., jaundice and failure to gain weight).
4. Waiting 1 month is too long for any infant who is discharged at 24 hours old.

[ENagel]

Gracias!

[gcook]

Excellent