ATI Nursing Care of Children

ATI Nursing Care of Children Related

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According to Piaget, which principle supports a nine-year-old child's understanding that an arm will look the same when the IV is removed?

  • A. The principle of conservation
  • B. The principle of transductive reasoning
  • C. The principle of identity
  • D. The principle of reflex abilities
Correct Answer: A

Rationale: The correct answer is A, the principle of conservation. Piaget's principle of conservation relates to a child's ability to understand that certain properties of objects remain unchanged despite modifications in their appearance. In this case, the child's understanding that an arm will look the same after the IV is removed demonstrates conservation of appearance. Choice B, transductive reasoning, involves making faulty generalizations based on specific instances and does not apply in this context. Choice C, the principle of identity, pertains to recognizing objects as the same even if they undergo transformations, which is not directly relevant to the scenario. Choice D, reflex abilities, refers to automatic responses to stimuli and is unrelated to the child's understanding of the arm's appearance post-IV removal.

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The nurse is seeing an adolescent and the parents in the clinic for the first time. Which should the nurse do first?

  • A. Introduce him- or herself
  • B. Make the family comfortable
  • C. Give assurance of privacy
  • D. Explain the purpose of the interview
Correct Answer: A

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

Baby M is 5 months old. You notice that she now has the ability to grasp objects between her fingers and opposing thumb. This is known as:

  • A. Parachute reflex
  • B. Grasp reflex
  • C. Pincer grasp
  • D. Prehension
Correct Answer: C

Rationale: The correct answer is C: Pincer grasp. The pincer grasp is the ability to hold objects between the thumb and another finger, typically developed around 9-12 months. At 5 months, it is early for a pincer grasp to fully develop, but the beginning of this skill can be seen as early as 5 months. Choices A and B are incorrect as the parachute reflex is a protective response to falling and the grasp reflex is an automatic response to touch. Choice D, prehension, is a general term for the act of grasping or holding objects, but it does not specifically refer to holding objects between the thumb and fingers like the pincer grasp does.

During a routine health assessment, the nurse notes that an 8-month-old infant has a significant head lag. Which is the most appropriate action?

  • A. Recheck head control at the next visit
  • B. Teach the parents appropriate exercises
  • C. Schedule the child for further evaluation
  • D. Refer the child for further evaluation if the anterior fontanel is still open
Correct Answer: C

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

When the nurse interviews an adolescent, which is especially important?

  • A. Focus the discussion on the peer group
  • B. Allow an opportunity to express feelings
  • C. Use the same type of language as the adolescent
  • D. Emphasize that confidentiality will always be maintained
Correct Answer: B

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

The nurse is performing an oral examination on a preschool child. Which strategies should the nurse use to encourage the child to open the mouth for the examination? (Select all that apply.)

  • A. Lightly brush the palate with a cotton swab
  • B. Perform the examination in front of a mirror
  • C. Let the child examine someone else's mouth first
  • D. All of the above
Correct Answer: D

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

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