A new mother reports that her newborn often spits up after feeding. Assessment reveals regurgitation. The nurse responds based on the understanding that this most likely is due to which of the following?
A) Placing the newborn prone after feeding
B) Limited ability of digestive enzymes
C) Underdeveloped pyloric sphincter
D) Relaxed cardiac sphincter
D
Response:
The cardiac sphincter and nervous control of the stomach is immature, which may lead to uncoordinated peristaltic activity and frequent regurgitation. Placement of the newborn is unrelated to regurgitation. Most digestive enzymes are available at birth, but they are limited in their ability to digest complex carbohydrates and fats; this results in fatty stools, not regurgitation. Immaturity of the pharyngoesophageal sphincter and absence of lower esophageal peristaltic waves, not an underdeveloped pyloric sphincter, also contribute to the reflux of gastric contents.
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a. Cash flow b. Expense incurred c. Profit d. Total reimbursement
The nurse explains to parents that if both of them are carriers of an autosomal recessive genetic mutation, the chance of each child inheriting the disease is:
A) 0%. B) 25%. C) 50%. D) 100%.
An older client newly diagnosed with arthritis wants to know what else can be done to help with the pain. What should the nurse instruct this client? Select all that apply.
1. Maintain a healthy weight. 2. Avoid positions that increase or cause pain. 3. Reduce intake of red meat and processed grains. 4. Alcohol should not be used for any reason. 5. Perform daily gentle exercise like walking.
To increase the immunization rates among children in the community, a nurse manager is consid-ering holding immunization clinics on Saturdays one month before school begins. Which of the following describes what is happening?
a. Formulating b. Planning c. Implementing d. Evaluating