1. Celiac Disease: 9 y.o for appendectomy wuith celiac disease: avoid cleansing enema, heat to the abdomen.It will cause perforation to the appendix.2. Diet of cleints with celiac disease is gluten free foods( crackers are not)
3. The nurse is testing reflexes in a four-month-old infant as part of the neurologic assessment. Which of the following findings would indicate an abnormal reflex pattern and an area of concern in a four-month-old infant?
1. Hyperextends toes in response to stroking sole of foot upward.
2. Does not extend and abduct extremities in response to loud noise.
3. Closes hand tightly when palm is touched.
4. Begins strong sucking movements when mouth area is stimulated.
1. Hyperextends toes in response to stroking sole of foot upward.
2. Does not extend and abduct extremities in response to loud noise.
3. Closes hand tightly when palm is touched.
4. Begins strong sucking movements when mouth area is stimulated.
Answer: 3.The palmar grasp is present at birth. The palmar grasp lessens by age three months and is no longer reflexive. The infant is able to close hand voluntarily.
4. What is the effect of ALL on bone Marrow: Crowding out of normal bone marrow cells.
5.
The mother of a three-month-old infant asks the nurse when she can start feeding her baby solid food. Which of the following should the nurse include in teaching this mother about the nutritional needs of infants?
1.Infant formula or breast milk provides adequate nutrients for the first year.
2. Infant cereal can be introduced by spoon when the extrusion reflex fades.
3. Pureed food can be offered when the infant has tripled his birth weight.
4.Solid foods should be given as soon as the infant's first tooth erupts.
The mother of a three-month-old infant asks the nurse when she can start feeding her baby solid food. Which of the following should the nurse include in teaching this mother about the nutritional needs of infants?
1.Infant formula or breast milk provides adequate nutrients for the first year.
2. Infant cereal can be introduced by spoon when the extrusion reflex fades.
3. Pureed food can be offered when the infant has tripled his birth weight.
4.Solid foods should be given as soon as the infant's first tooth erupts.
Answer: 2 .Infant cereal is generally introduced first because of its high iron content. The infant is able to accept spoon feeding at around four to five months when the tongue thrust or extrusion reflex fades.
6. The nurse is assessing a six-month-old infant during a well child visit. The nurse makes all of the following observations. Which of the following assessments made by the nurse is an area of concern indicating a need for further evaluation?
1. Moderate head lag when pulled to sitting position.
2. Three pound weight gain in two months.
3. Closed posterior fontanel.
4. Absence of Moro reflex
1. Moderate head lag when pulled to sitting position.
2. Three pound weight gain in two months.
3. Closed posterior fontanel.
4. Absence of Moro reflex
By four to six months, head control is well established. There should be no head lag when infant is pulled to a sitting position by the age of six months.
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