Author Question: An infant with gastroesophageal reflux disease (GERD) is being discharged home. Which of the ... (Read 50 times)

armygirl · **on:** Jun 28, 2018

An infant with gastroesophageal reflux disease (GERD) is being discharged home. Which of the following is the priority topic the nurse plans to include in the teaching plan?

A.
Managing a multi-medication regime at home
B.
Positioning the infant during feeding and sleeping
C.
Type of formula to best prevent episode of GERD
D.
When to return for surgical correction of the bowel

Question 2

The nurse working in labor and delivery knows that which infant is at highest risk of having a long-bone fracture?

A.
Intrauterine growth restriction
B.
Mother with osteoporosis
C.
Multiples with one breech presentation
D.
Premature

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

Answer to Question 1

ANS: B
GERD is common in infants and is not always treated. Prevention includes maintaining an upright position when feeding and feeding the baby slowly. Medications are not always used, but when given, they consist of proton-pump inhibitor or medication to increase gastric motility. Treatment does not include a multi-drug regimen. Formula type is not related. GERD is an upper gastrointestinal disorder, so surgical correction of the bowel is not indicated.

Answer to Question 2

ANS: C
Risk factors for long-bone fractures include breech presentation, multiples, prematurity, and fetal osteoporosis. The premature baby has some risk, but not as much as multiple births with one breech presentation.