A newborn with pyloric stenosis has symptoms of projectile vomiting, leading to significant weight loss, dehydration, and metabolic alkalosis. What client teaching is necessary for the parents in caring for the infant until surgery to correct the defect?
A)Monitoring for hyperventilation to detect changes in health status
B)Breastfeeding techniques to reverse weight loss and dehydration
C)Positioning of the infant to prevent aspiration
D)Performing percussion and postural drainage to clear the airways

Question

Quizplus · Accepted Answer

A)Complications related to aspiration of vomitus can be prevented by correct positioning of the infant. Parents should be taught correct positioning so they can care for the infant at home or when the nurse is not in the room. Hyperventilation leads to respiratory alkalosis and is usually unrelated to pyloric stenosis. Because pyloric stenosis blocks passage of food from the stomach to the small intestines, increasing oral intake will not be beneficial to the infant, so breastfeeding techniques are irrelevant at this time. Percussion and postural drainage are more relevant to lung diseases such as cystic fibrosis, not a gastrointestinal (GI)disorder such as pyloric stenosis.
B)Complications related to aspiration of vomitus can be prevented by correct positioning of the infant. Parents should be taught correct positioning so they can care for the infant at home or when the nurse is not in the room. Hyperventilation leads to respiratory alkalosis and is usually unrelated to pyloric stenosis. Because pyloric stenosis blocks passage of food from the stomach to the small intestines, increasing oral intake will not be beneficial to the infant, so breastfeeding techniques are irrelevant at this time. Percussion and postural drainage are more relevant to lung diseases such as cystic fibrosis, not a gastrointestinal (GI)disorder such as pyloric stenosis.
C)Complications related to aspiration of vomitus can be prevented by correct positioning of the infant. Parents should be taught correct positioning so they can care for the infant at home or when the nurse is not in the room. Hyperventilation leads to respiratory alkalosis and is usually unrelated to pyloric stenosis. Because pyloric stenosis blocks passage of food from the stomach to the small intestines, increasing oral intake will not be beneficial to the infant, so breastfeeding techniques are irrelevant at this time. Percussion and postural drainage are more relevant to lung diseases such as cystic fibrosis, not a gastrointestinal (GI)disorder such as pyloric stenosis.
D)Complications related to aspiration of vomitus can be prevented by correct positioning of the infant. Parents should be taught correct positioning so they can care for the infant at home or when the nurse is not in the room. Hyperventilation leads to respiratory alkalosis and is usually unrelated to pyloric stenosis. Because pyloric stenosis blocks passage of food from the stomach to the small intestines, increasing oral intake will not be beneficial to the infant, so breastfeeding techniques are irrelevant at this time. Percussion and postural drainage are more relevant to lung diseases such as cystic fibrosis, not a gastrointestinal (GI)disorder such as pyloric stenosis.

A Newborn with Pyloric Stenosis Has Symptoms of Projectile Vomiting