The mother of a 6-month-old infant has returned to work and is ...

[LCritchfi]

The mother of a 6-month-old infant has returned to work and is expressing breast milk to be frozen. She asks for directions on how to safely thaw the breast milk in the microwave. What should the nurse recommend?
 
  a. Heat only 10 oz or more.
  b. Do not thaw or heat breast milk in a microwave oven.
  c. Always leave the bottle top uncovered to allow heat to escape.
  d. Shake the bottle vigorously for at least 30 seconds after heating.

Question 2

The nurse finds that a 6-month-old infant has an apical pulse of 166 beats/min during sleep. What nursing intervention is most appropriate at this time?
 
  a. Administer oxygen.
  b. Record data on the nurses' notes.
  c. Report data to the practitioner.
  d. Place the child in the high Fowler position.

[AaaA]

Answer to Question 1

ANS: B
Using a microwave oven to thaw or heat breast milk decreases the anti-infective properties of the breast milk, lowers the vitamin C content, and changes the fat content. Breast milk should be thawed overnight in a refrigerator or in a warm water bath. A microwave should not be used. If steam is created, the milk is too hot. The bottle should be inverted several times after defrosting or warming.

Answer to Question 2

ANS: C
One of the earliest signs of HF is tachycardia (sleeping heart rate >160 beats/min) as a direct result of sympathetic stimulation. The practitioner needs to be notified for evaluation of possible HF. Although oxygen or a semiupright position may be indicated, the first action is to report the data to the practitioner.

[LCritchfi]

TYSM

[chereeb]

Excellent