An infant with congenital heart disease is to undergo surgery to correct the defect. The mother states, "I guess I'm going to have to stop breastfeeding her.". Which response by the nurse would be most appropriate?
A) "That's true, but we'll make sure she gets the best intravenous nutrition.".
B) "Unfortunately, your baby needs more nutrients than what breast milk can provide.".
C) "Breast milk may help to boost her immune system, so you can continue to use it.".
D) "She won't be able to suck, so we have to give her fortified formula through a tube.".
C
Feedback:
Breastfeeding a child before and after cardiac surgery may boost the infant's immune system, which can help fight postoperative infection. If breastfeeding is not possible, mothers can pump milk and the breast milk may be given via bottle, dropper, or gavage feeding. In addition, breastfeeding is associated with decreased energy expenditure during the act of feeding.
You might also like to view...
The nurse gathering data from a client admitted to labor and delivery is overheard making the comment, "You are lying. You need to tell me the truth so we can do what is best for your baby." The nurse's communication is:
1. A perception check. 2. Nontherapeutic. 3. Necessary. 4. Therapeutic.
A nurse who works in a neonatal intensive care unit is providing care for an infant born at 26 weeks' gestation. Which of the following assessments would lead the nurse to suspect that the infant has developed respiratory distress syndrome (RDS)?
A) The infant's blood pressure and temperature are normal measurements as expected. B) Infant is grunting and has notable intercostal retractions with respirations. C) Infant has poor motor skills and limited limb range of motion. D) Infant has apnea lasting 5 to 10 seconds with a decrease in heart rate, which reverses with tactile stimulation.
The new operative procedure gaining in popularity for the removal of the gallbladder, if there is no cholecystitis or choledocholithiasis, is a(n)
a. laparoscopic cholecystectomy. b. cholangiography. c. open cholecystectomy. d. choledochostomy.
During cell injury caused by hypoxia, why does an increase in the osmotic pressure within the cell occur?
a. Plasma proteins enter the cell. b. The adenosine triphosphatase (ATPase)-driven pump is stronger during hypoxia. c. Sodium chloride enters the cell. d. An influx of glucose occurs through the injured cell membranes