NURS 248: PEDS FINAL EXAM 2022/2023.With 100% Accurate Answers and Rationale Graded A+ (Guaranteed Pass)

NURS 248: PEDS FINAL EXAM 2022/2023.With 100% Accurate Answers and Rationale Graded A+ (Guaranteed Pass) Chapter 31 – Infant pg. 822 – 864 1. The nurse is caring for a 2-month-old infant with the flu. The infant is crying due to colicky pain. the nurse tries to soothe the infant, but the infant continues to cry. What does the nurse do in this situation? a. Offer milk products to the infant b. Offer the infant a bottle of diluted juice c. Change the diaper before returning the infant to the crib d. Walk with the infant’s face down and with the body across a parent's arm e: the infant is crying due to colicky pain. The nurse should advise a parent to walk with that infant’s face down and with body across an arm so that the infant can feel a little bit comfortable. The nurse should avoid offering diluted juice and other milk products to the infant. They may lead to vomiting in the infant, which may increase the pain and worsen the condition. The nurse should inspect the diaper and change if needed, but the child is crying due to colicky pain, and it may not be helpful in this situation. 2. Which fine motor activity does the nurse observe in a 6-month-old infant? a. The Infant can hold a milk bottle b. The infant drops a cube in the cup c. The infant is able to hold two cubes d. The infant grabs a bell by the handle Rationale: A 6-month-old infant is able to hold the milk bottle. Holding two cubes, dropping a cube in the cup, and grabbing a bell by the handle requires more muscle coordination, which is not developed by the age of six months. A 7-month-old infant can hold the two cubes more than momentarily. A 10-month-old infant can grasp a bell by the handle. A 12-month-old infant can release cubes in a cup. 3. A six-month-old infant's parent asks the nurse, “What is the best alternative to breastfeeding?” What appropriate response should the nurse give to the infant's parents? a. “Skim milk is an alternative to breastfeeding.” b. “Imitation milk is an alternative to breastfeeding.” c. “Commercial iron-fortified Formula is an alternative.” d. “Pasteurized whole cow’s milk is acceptable to give.” Rationale: The nurse should advise the parents to give iron-fortified formula to the infant as it is the best alternative to breastfeeding. It is like human milk and contains all nutrients required by the infant for the first six months. Skim milk and imitation milk have limited digestibility, increased risk for contamination, and lack of nutrients needed for appropriate growth, therefore, they are not good alternatives to breastfeeding. Pasteurized whole cow's milk is deficient in iron, zinc, and vitamin C. It has a high renal solute load, which makes it undesirable for infants younger than 12 months and therefore is not a good alternative.