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The nurse is educating parents of a male infant with Chiari type II malformation. Which statement about their child's condition is most accurate?

a) "Lay him down after feeding."
b) "Take your time feeding your baby." c) "You won't need to change diapers often."
d) "You'll see a big difference after the surgery."

1 Answer

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Final answer:

The most accurate statement for parents of an infant with Chiari type II malformation is 'Take your time feeding your baby,' due to potential difficulty with swallowing and feeding associated with this condition.

Step-by-step explanation:

The condition being described is Chiari type II malformation, a structural defect in the cerebellum, the part of the brain that controls balance. This condition can lead to various symptoms that can impact an infant's well-being, including difficulty with feeding and changes in breathing or heart rate. In educating parents about caring for an infant with this condition, it's crucial to provide guidance that addresses these potential challenges.

The most accurate statement regarding care for a child with Chiari type II malformation would be b) "Take your time feeding your baby." This is because infants with Chiari malformation may have difficulty feeding due to potential problems with swallowing or coordinating suckling. Parents need to be patient and allow the infant enough time to feed safely. Speeding through this process could increase the risk of aspiration or inadequate nutrition.

Statements such as "Lay him down after feeding" may not be the best practice if the child has reflux or difficulty swallowing, which is common in such conditions. The third statement, "You won't need to change diapers often," is not characteristic of this condition and may be a sign of dehydration or urinary problems. Lastly, while surgery may improve some symptoms, the extent of change post-surgery can vary widely, and it would be misguided to promise a "big difference" without considering the individual case.

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