solve these mcqs and tell reason 1. You are assigned in NICU in nursery unit; wh

Question

solve these mcqs and tell reason

1. You are assigned in NICU in nursery unit; where you are following a doctor orders of feeding 30 mi through nipple bottle for a second day of life of a neonate. What is the most important problem that the nurse needs to be alert for during feedings? a. Excessive air intake b. Abdominal distention c. Exertion during feeding d. Hyperthermia during feeding 2. A one year old child is operated for cleft lip and a logon bow was applied to protect the site. What additional measure will you take to prevent trauma to sutures? a. Keep in prone position b. Keep in left lateral position c. Keep in right lateral position d. Keep in supine position 3. An eight months old infant was admitted in peads ward with the medical diagnosis of gastro esophageal reflux disease (GERD). Which one of the following is the most important the life- threatening risk associated with GERD? a. Failure to thrive b. Pneumonia c. Hypoglycemia d. Hyperthermia

Explanation / Answer

1. Answer: a. Explanation: Hyperthermia (the milk being too hot) and exertion (applying to much force) can be easily controlled by the person feeding the baby. Taking into account that a baby's immune system isn't as strong as an adult's, it is important that all the feeding equipment as well as the milk is sterilized. Once sterile it is important to wait until it's 37°C (body temperature) to avoid burning the baby's tongue. But it is even more important to be alert about excessive air intake as it is the main cause of abdominal distension (accumulation of air in the abdomen), which at the same time, causes pain and in some extreme cases, if a lot of air is accumulated the pressure reaches the lungs causing shortness of breath. The excessive air intake happens when a baby drinks too fast, if it's in a straight horizontal position while feeding or if the nipple in the bottle has too big. Normal sized holes in nipples should drop 1 drop of milk per second.

2. Answer: a. Observation: It's logan's bow not logon bow. Explanation: logan's bow it's a device that helps to stress off the pressure on the sutures after a surgery to fix a cleft lip. Prone position helps to drain oral fliuds and posture of the tongue so the sutures don't torn.

3. Answer: b. Explanation: GERD is the reflux of gastric juice (also known as stomach acid) into the esophagus, but in some cases, if the reflux goes to high and there is air intake at the same time the stomach acid could get into the trachea, travels to the lungs and cause inflammation (pneumonia).

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