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    HESI RN Pediatric and Women's Health Proctored Exam

    A one-month-old infant admitted to the hospital with dehydration and failure to thrive receives a prescription for enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in the plan of care?

    Explanation & Rationale

    Choice A rationale: Offering a pacifier for non-nutritive sucking supports oral-motor development, self-soothing, and normal growth patterns in infants receiving enteral feedings, promoting developmental needs beyond nutrition. Choice B rationale: Clean technique, not sterile, is required for enteral feedings; sterile technique is unnecessary and impractical, as the gastrointestinal tract is not sterile and routine care prevents infection. Choice C rationale: Abdominal x-ray is used to confirm initial NG tube placement, but it is not a repeated intervention for maintaining growth and development; ongoing care focuses on feeding support. Choice D rationale: Physical therapy is not indicated for a one-month-old infant with dehydration and failure to thrive; developmental support at this age centers on feeding and oral-motor stimulation.

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