A nurse is performing an assessment on an infant whose mother states that she feeds her infant in a supine position by propping the bottle. Based on this information, what would the nurse include in her assessment?
1. Otoscopic exam of the ear drum
2. Bowel sounds
3. Vital signs
4. Skin assessment
1
Rationale:
1. If the infant is fed horizontally, positional otitis media could develop. This is due to milk and nasal mucus blocking the eustachian tube.
2. Bowel sounds are not affected by the position of the feeding.
3. Vital signs are not affected by the position of the feeding.
4. The skin is not affected by the position of the feeding.
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