The nurse is caring for a newborn with a cleft lip and palate. The mother states, 'I will not be able to breastfeed my baby.' Select the nurse's best response.

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Pediatric Gastrointestinal Disorders NCLEX Questions Questions

Question 1 of 5

The nurse is caring for a newborn with a cleft lip and palate. The mother states, 'I will not be able to breastfeed my baby.' Select the nurse's best response.

A. It sounds like you are feeling discouraged. Would you like to talk about it? B. Sometimes breastfeeding is still an option for babies with a cleft lip and palate. Would you like more information? C. Although breastfeeding may be challenging, some mothers are able to breastfeed their infants with a cleft lip and palate. Let's discuss your options. D. We usually discourage breastfeeding babies with cleft lip and palate as it puts them at an increased risk for aspiration.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The nurse is giving discharge instructions to the parent of a 1-month-old infant with tracheoesophageal fistula and a gastrostomy tube (GT). The nurse knows the mother understands the discharge teaching when she states:

A. I will give my baby feedings through the GT but place liquid medications in the corner of the mouth to be absorbed. B. I will flush the GT with 2 ounces of water after each feeding to prevent it from clogging. C. I will clean the area around the GT with soap and water every day. D. I will place petroleum jelly around the GT if any redness develops.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The nurse is to receive a 4-year-old from the recovery room after an appendectomy. The parents have not seen the child since surgery and ask what to expect. Select the nurse's best response.

A. Your child will be very sleepy, have an intravenous line in the hand, and have a nasal tube to help drain the stomach. If your child needs pain medication, it will be given intravenously. B. Your child will be very sleepy, have an intravenous line in the hand, and have white stockings to help prevent blood clots. If your child needs pain medication, we will give it intravenously or provide a liquid to swallow. C. Your child will be wide awake and will have an intravenous line in the hand. If your child needs pain medication, we will give it intravenously or provide a liquid to swallow. D. Your child will be very sleepy and have an intravenous line in the hand. If your child needs pain medication, we will give it intravenously.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The parent of a 5-year-old states that the child has been having diarrhea for 24 hours, vomited twice 2 hours ago, and now claims to be thirsty. The parent asks what to offer the child because the child is refusing Pedialyte. Select the nurse's most appropriate response.

A. You can offer clear diet soda such as Sprite and ginger ale. B. Pedialyte is really the best thing for your child; if thirsty enough, he will eventually drink it. C. Pedialyte is best. You might offer it in a spoon, medicine cup, or syringe to give your child a choice, which may help him take it. D. It doesn't matter what your child drinks as long as it is kept down; try offering small amounts in a medicine cup.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The parents of a newborn diagnosed with a cleft lip and palate ask the nurse when their child's lip and palate will most likely be repaired. Select the nurse's best response.

A. The palate and the lip are usually repaired in the first few weeks of life so that the baby can grow and gain weight. B. The palate and the lip are usually not repaired until the baby is approximately 6 months old so that the mouth has had enough time to grow. C. The lip is repaired in the first few months of life, but the palate is not usually repaired until the child is 3 years old. D. The lip is repaired in the first few weeks of life, but the palate is not usually repaired until the child is about 18 months old.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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