ATI Nursing Care of Children

ATI Nursing Care of Children Related

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At a well-visit, a mother voices concern that her 30-month-old has a smaller vocabulary than other children in his daycare. The nurse should:

  • A. Admit the child to the hospital
  • B. Assess the child for other age-appropriate development
  • C. Suggest that the child is hearing impaired
  • D. Explain that the child has a significant developmental delay
Correct Answer: B

Rationale: When a parent expresses concern about a child's development, it is essential to conduct a comprehensive assessment of all areas of development before jumping to conclusions. Choosing option B allows the nurse to evaluate the child for other age-appropriate developmental milestones to determine if there are any delays or concerns. Admitting the child to the hospital (option A) is not necessary at this point and may cause unnecessary stress. Suggesting hearing impairment (option C) without proper evaluation can lead to misdiagnosis. Explaining a significant developmental delay (option D) should only be done after a thorough assessment and diagnosis.

You may also like to solve these questions

Which heart sound is produced by vibrations within the heart chambers or in the major arteries from the back-and-forth flow of blood?

  • A. S1 and S2
  • B. S3 and S4
  • C. Murmur
  • D. Physiologic splitting
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The nurse is taking a sexual history on an adolescent girl. Which is the best way to determine whether she is sexually active?

  • A. Ask her, "Are you sexually active?"
  • B. Ask her, "Are you having sex with anyone?"
  • C. Ask her, "Are you having sex with a boyfriend?"
  • D. Ask both the girl and her parent if she is sexually active
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A newborn is admitted to the nursery with a complete bilateral cleft lip and palate. The mother refuses to see or hold her infant. What should the nurse do first?

  • A. Restate what the physician has told her about plastic surgery
  • B. Suggest holding her baby without making eye contact
  • C. Encourage and allow the mother to express her feelings
  • D. Recognize and allow the mother to express her feelings
Correct Answer: D

Rationale: In this situation, the priority is to acknowledge and validate the mother's feelings, creating a supportive environment for her. Option D is correct as it focuses on recognizing and allowing the mother to express her emotions. This approach can help build trust and facilitate communication. Options A and B are incorrect as they do not address the mother's emotional needs and may come across as dismissive. Option C is less appropriate as it only encourages expression without explicitly recognizing the mother's current emotional state.

An infant is born with anencephaly. Based on the knowledge of this diagnosis, what information does the nurse consider when interacting with the family?

  • A. Many treatment options exist.
  • B. Immediate surgery is necessary.
  • C. The condition is incompatible with life.
  • D. The child will have permanent disabilities.
Correct Answer: C

Rationale: The correct answer is C: 'The condition is incompatible with life.' Anencephaly is the most serious neural tube defect where both hemispheres of the brain are absent. It is incompatible with life, as there are no medical or surgical treatment options available. While some infants with mature brain stem function can maintain vital functions for a short period, anencephaly is ultimately not survivable. Choice A is incorrect as there are no treatment options for anencephaly. Choice B is incorrect as immediate surgery is not necessary for this condition. Choice D is incorrect as an infant with anencephaly will not have permanent disabilities since the condition is not compatible with life.

Which action should the nurse implement when taking an axillary temperature?

  • A. Take the temperature through one layer of clothing
  • B. Add a degree to the result when recording
  • C. Place the tip of the thermometer under the arm in the center of the axilla
  • D. Hold the child's arm away from the body while taking the temperature
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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