A parent of a 2-month-old infant, who was treated for pyloric stenosis, is receiving discharge instructions from a healthcare provider. Which statement by the parent indicates a need for further teaching?

Correct Answer: C

Rationale: In this scenario, option C, "We will lay our baby on their stomach after feeding," indicates a need for further teaching because placing an infant on their stomach after feeding increases the risk of choking and aspiration, especially in a baby with a history of pyloric stenosis. Option A, burping the baby more frequently during feedings, is correct because it helps prevent gas buildup and discomfort in infants. Option B, feeding the baby in an upright position, is also correct as it helps reduce the risk of reflux and aspiration. Option D, starting with small, frequent feedings, is appropriate for infants with pyloric stenosis as it prevents overloading the stomach and reduces the likelihood of vomiting. In a pediatric nursing context, it is crucial to educate parents on safe feeding practices for infants, especially those with a history of medical conditions like pyloric stenosis. Providing clear instructions on feeding positions, burping techniques, and feeding schedules can help ensure the well-being of the infant and prevent complications. It is important to reinforce these key points during discharge teaching to promote optimal care and safety at home.

Correct Answer: D

Rationale: The correct answer is D. Wearing long pants and long-sleeved shirts is an effective preventive measure against tick bites, which reduces the risk of contracting Lyme disease. This attire helps to minimize skin exposure to ticks, thereby decreasing the chances of a tick attaching and transmitting the disease-causing bacteria.

Correct Answer: C

Rationale: Honesty is fundamental in building trust with adolescent patients as it helps create an environment where they feel safe to share their concerns openly. By being honest and maintaining confidentiality, healthcare providers can establish a strong and trusting relationship with adolescents, ultimately leading to better healthcare outcomes.

Correct Answer: A

Rationale: In the context of pediatric nursing, the most important instruction for a 10-year-old child being discharged after an admission for status asthmaticus is to use a peak flow meter daily to monitor asthma control. This is crucial because it empowers the child and caregivers to actively assess the severity of asthma symptoms and response to treatment at home. Monitoring peak flow readings can help detect early signs of worsening asthma and guide timely intervention. Avoiding exposure to known allergens (option B) is important in asthma management, but it is not as immediate and actionable as daily peak flow monitoring. Continuing to take asthma medications as prescribed (option C) is essential for long-term management but does not provide real-time assessment of asthma control. Seeking emergency care if symptoms worsen (option D) is important, but regular monitoring with a peak flow meter can help prevent exacerbations that lead to emergency situations. Educationally, teaching the importance of daily peak flow monitoring reinforces the concept of self-management and empowers the child to take an active role in their asthma care. It also emphasizes the value of proactive monitoring and early intervention in chronic conditions like asthma, promoting better outcomes and quality of life.

Correct Answer: A

Rationale: In this scenario, the correct first action for the healthcare provider to take when noticing a 4-year-old child frequently swallowing post-tonsillectomy is option A) Check the child's throat for signs of bleeding. This is crucial because frequent swallowing could indicate bleeding, a potential complication post-tonsillectomy. Checking the throat allows the provider to assess for any signs of bleeding such as fresh blood or increased oral secretions. The other options are incorrect for the following reasons: B) Offering the child ice chips to soothe the throat may provide temporary relief but does not address the potential underlying issue of bleeding. C) Elevating the head of the child's bed is a general comfort measure and does not directly address the specific concern of potential bleeding post-tonsillectomy. D) Administering prescribed pain medication is important for postoperative pain management but should not be the first action when there is a suspicion of bleeding. In a pediatric nursing context, it is essential for healthcare providers to prioritize assessment and intervention based on potential complications, especially in the immediate postoperative period. Recognizing and responding promptly to signs of bleeding can prevent further complications and ensure the child's safety and well-being.