A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parent indicates an understanding of the teaching?
"I will feed my baby on a schedule every 4 hours."
"I will allow my baby to take as much time as needed to finish the bottle."
"I will add increased calorie supplement to each of my baby's bottles."
"I will limit my baby's crying to 15 minutes prior to each feeding."
The Correct Answer is C
A. Feeding on a strict schedule may not be beneficial for an infant with heart failure, as these babies often require more frequent, smaller feedings to prevent fatigue and ensure adequate nutrition.
B. Allowing the baby to take as much time as needed can be beneficial, but it is crucial to monitor for fatigue and ensure the infant receives sufficient nutrition within a reasonable time frame.
C. Adding increased calorie supplements to each bottle is an effective strategy to help meet the increased caloric needs of an infant with heart failure, indicating an understanding of the nutritional requirements.
D. While minimizing crying can be helpful, the focus should be on the infant's needs and ensuring they are fed before they become overly distressed, rather than a strict limit on crying time.
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Correct Answer is A
Explanation
A. A child whose parents consistently answer questions on their behalf may indicate a lack of autonomy and could be a sign of potential abuse or neglect, as it may suggest the parents are controlling or overly involved.
B. A child who has frequent visitors does not inherently suggest abuse; in fact, it could indicate support and care from family or friends.
C. Frequent use of the call light could indicate a child's need for assistance or comfort but does not directly correlate with abuse.
D. A child with a BMI indicating obesity is not a definitive indicator of abuse; it may relate to dietary habits or lifestyle factors rather than abuse.
Correct Answer is D
Explanation
A. While anxiety and withdrawal are concerning, they may not require immediate intervention compared to behaviors that pose risks to the child or others.
B. A stable child with a concerned parent may benefit from reassurance and support, but they do not require urgent intervention.
C. Stomach pain without an apparent cause should be assessed, but it may not be as urgent as aggressive behavior that can harm others.
D. A child exhibiting aggressive behavior poses a risk to themselves and others, necessitating immediate assessment and intervention to ensure safety and manage the behavior effectively.