Nokea
A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is
- A. refer her to an obstetrician
- B. explain the way of milk expression
- C. apply Edinburgh postnatal depression scale
- D. advise her on milk engorgement
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Malignant hyperthermia is a life-threatening condition triggered by certain anesthetic agents. Which of the following is NOT a sign of malignant hyperthermia?
- A. Rapid onset fever
- B. Hypercarbia
- C. Ventricular fibrillation
- D. Muscle rigidity
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching a parent of a child with contact dermatitis, which instruction should the nurse include?
- A. Apply a thick layer of antibiotic ointment to the affected area.
- B. Rub the skin vigorously with a towel to dry it.
- C. Keep the child's skin dry.
- D. Apply a thin layer of corticosteroid cream to the affected area.
Correct Answer: D
Rationale: The correct instruction for a child with contact dermatitis is to apply a thin layer of corticosteroid cream to the affected area. Corticosteroid cream helps reduce inflammation and itching associated with contact dermatitis. It is important to avoid using antibiotic ointment or rubbing the skin vigorously, as these can worsen the condition. Keeping the child's skin dry is generally a good practice, but in the case of contact dermatitis, corticosteroid cream application is more beneficial.
Which type of play involves actions such as looking and touching the mother's face, putting hands in one's mouth, and responding to familiar people?
- A. Exploratory
- B. Functional or relational
- C. Pretend
- D. Symbolic or imaginary
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which assessment finding would necessitate action by the nurse for a 10-month-old child who is 4 hours postoperative for the placement of a urethral stent?
- A. Bloody urine
- B. One void since returning from surgery
- C. Bladder spasms responding to pharmacologic intervention
- D. Double diapering from the previous shift
Correct Answer: B
Rationale: In a postoperative scenario after the placement of a urethral stent, monitoring the child's voiding frequency is crucial. Having only one void since returning from surgery could indicate potential issues like urinary retention, which necessitates prompt nursing intervention to prevent complications.
Which standardized test would be most appropriate for assessing the motor development of a 2-month-old infant in a high-risk clinic?
- A. Peabody Developmental Motor Scale (PDMS-2)
- B. Bruininks-Oseretsky Test of Motor Proficiency (BOT-2)
- C. Pediatric Evaluation of Disability Index (PEDI)
- D. School Assessment of Motor and Process Skills (School-AMPS)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.