ATI RN
ATI RN Nursing Care of Children 2019 Questions
Extract:
3-month-old infant with a cleft of the soft palate
Question 1 of 5
A nurse is caring for a 3-month-old infant who has a cleft of the soft palate. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Elevate the infant's head to a 10° angle during feedings.
Rationale: Elevating the infant's head helps prevent regurgitation and aspiration due to the cleft palate. This position facilitates easier swallowing and minimizes the risk of choking during feedings.
Summary:
A - Discontinuing feeding based on watery eyes is not a relevant response to cleft palate.
B - Postponing burping can lead to increased gas and discomfort for the infant.
D - Feeding a specific volume of formula is not individualized care and may not address the specific needs of the infant with a cleft palate.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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