For which infant should the nurse anticipate the use of soy ...

[renzo156]

For which infant should the nurse anticipate the use of soy formula? (Select all that apply.)
 
  a. Preterm infant
  b. Infant with galactosemia
  c. Infant with phenylketonuria
  d. Infant with lactase deficiency
  e. Infant with a malabsorption disorder

Question 2

A client who is receiving a pitocin (Oxytocin) infusion for the augmentation of labor is experiencing a contraction pattern of more than eight contractions in a 10-minute period. Which intervention would be a priority?
 
  a. Increase the rate of pitocin infusion to help spread out the contraction pattern.
  b. Place oxygen on the client at 8 to 10 L/min via face mask and turn the client to her left side.
  c. Stop the pitocin infusion.
  d. Call the physician to obtain an order for the initiation of magnesium sulfate.

[Missbam101]

Answer to Question 1

ANS: B, D, E
Soy formula may be given to infants with galactosemia or lactase deficiency or those whose families are vegetarians. Soy milk is derived from the protein of soybeans and supplemented with amino acids. The formulas are also used for infants with malabsorption disorders. The preterm infant may require a more concentrated formula, with more calories in less liquid. Modifications of other nutrients are also made. Human milk fortifiers can be added to breast milk to adapt it for preterm infants. Low-phenylalanine formulas are needed for infants with phenylketonuria, a deficiency in the enzyme to digest phenylalanine found in standard formulas.

Answer to Question 2

ANS: C
The client is exhibiting uterine tachysystole (uterine tetany). The priority intervention is to stop the infusion. The next course of action is to place oxygen on the client and reposition and increase the flow rate of the primary infusion. If the condition does not improve, the physician may be contacted for additional orders.