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A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?

A.

Sitting on a nurse’s lap leaning forward.

B.

Supine.

C.

Sitting on a nurse’s lap leaning backward.

D.

Trendelenburg.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Sitting on a nurse’s lap leaning forward is a position that can be used for postural drainage in infants with cystic fibrosis. This position helps drain secretions from the upper lobes of the lungs.

 

Choice B rationale

 

The supine position (lying on the back) is also used for postural drainage to target different areas of the lungs. It is not contraindicated for infants with cystic fibrosis.

 

Choice C rationale

 

Sitting on a nurse’s lap leaning backward is another position that can be used for postural drainage. This position helps drain secretions from the lower lobes of the lungs.

 

Choice D rationale

 

The Trendelenburg position (lying flat on the back with the feet elevated higher than the head) is contraindicated for infants with cystic fibrosis. This position can increase the risk of gastroesophageal reflux and aspiration, which can worsen respiratory symptoms.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Droplet precautions are used for infections spread through large respiratory droplets, such as influenza, but are not sufficient for measles.

Choice B rationale

Airborne precautions are necessary for measles, as it is spread through small droplets that can remain suspended in the air and travel over long distances.

Choice C rationale

Contact precautions are used for infections spread through direct contact with the patient or their environment, such as MRSA, but are not sufficient for measles.

Choice D rationale

A protective environment is used for patients with compromised immune systems to protect them from infections, not for preventing the spread of infections like measles.

Correct Answer is D

Explanation

Choice A rationale

At 10 months, infants are typically able to imitate simple sounds, including animal sounds. This is a normal developmental milestone.

Choice B rationale

Turning pages in a book is a fine motor skill that develops later, around 12 months of age.

Choice C rationale

Building a tower of three or four cubes is a skill that typically develops around 15-18 months of age.

Choice D rationale

By 10 months, infants should be able to sit steadily without support. Inability to do so may indicate a developmental delay.

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