qod 5/11

[mitchsmom]

Not sure if someone else was supposed to be posting a question... sorry if I'm invading someone's territory :) Though I'd throw one out there since I'm reviewing NCLEX questions anyway:

The nurse has been teaching a new mother how to feed her infant son who was born with a cleft lip and palate. Which action by the mother would indicate that the teaching has been successful?

A. Placing the neonate flat during feedings

B. Providing fluids with a small spoon

C. Placing the nipple in the cleft palate

D. Burping the neonate frequently

[mitchsmom]

ANSWER:

D. Rationale: Because a neonate with a cleft lip and palate can't grasp a nipple securely, he may swallow a large amount of air during feedings and, therefore, require frequent burping. A neonate with a cleft lip and palate should be fed in an upright position to reduce the risk of aspiration. Spoons aren't used. A neonate with a cleft lip and palate may use specially prepared nipples for feeding. Placing the nipple in the cleft palate increases the risk of aspiration.