Nokea
A 2-week-old infant with Down syndrome is being seen in the clinic. His mother tells the nurse that he is difficult to hold, that hes like a rag doll. He doesnt cuddle up to me like my other babies did. What is the nurses best interpretation of this lack of clinging or molding?
- A. Sign of detachment and rejection
- B. Indicative of maternal deprivation
- C. A physical characteristic of Down syndrome
- D. Suggestive of autism associated with Down syndrome
Correct Answer: C
Rationale: Hypotonicity and hyperextensibility in Down syndrome cause a rag doll-like posture, making holding difficult. This is a physical characteristic, not detachment, maternal deprivation, or autism, which is not typically associated with Down syndrome at this age.
You may also like to solve these questions
The mother of a young child with cognitive impairment asks for suggestions about how to teach her child to use a spoon for eating. The nurse should make which recommendation?
- A. Do a task analysis first.
- B. Do not expect this task to be learned.
- C. Continue to spoon feed the child until the child tries to do it alone.
- D. Offer only finger foods so spoon feeding is unnecessary.
Correct Answer: A
Rationale: Task analysis breaks down self-feeding into manageable steps, guiding the child to master each component. Expecting the task to be unlearnable is defeatist, continued spoon-feeding delays independence, and finger foods avoid necessary socialization skills.
What condition is defined as reduced visual acuity in one eye despite appropriate optical correction?
- A. Myopia
- B. Hyperopia
- C. Amblyopia
- D. Astigmatism
Correct Answer: C
Rationale: Amblyopia, or lazy eye, is reduced visual acuity in one eye despite correction, often due to insufficient visual stimulation. Myopia is nearsightedness, hyperopia is farsightedness, and astigmatism involves unequal refractive curvatures, none of which define amblyopia.
A 5-year-old child has bilateral eye patches in place after surgery yesterday morning. Today he can be out of bed. What nursing intervention is most important at this time?
- A. Speak to him when entering the room.
- B. Allow him to assist in feeding himself.
- C. Orient him to his immediate surroundings.
- D. Reassure him and allow his parents to stay with him.
Correct Answer: C
Rationale: Orienting the child to his surroundings is critical for safety, as bilateral eye patches impair vision and he is now mobile. Speaking on entry, assisting with feeding, and parental presence are important but secondary to ensuring a safe environment.
What intervention is most appropriate to facilitate social development of a child with a cognitive impairment?
- A. Provide age-appropriate toys and play activities.
- B. Avoid exposure to strangers who may not understand cognitive development.
- C. Provide peer experiences, such as infant stimulation and preschool programs.
- D. Emphasize mastery of physical skills because they are delayed more often than verbal skills.
Correct Answer: C
Rationale: Peer experiences, such as infant stimulation and preschool programs, foster social development by providing opportunities for interaction. Age-appropriate toys support play but not socialization, avoiding strangers limits social growth, and verbal skills are often more delayed than physical skills.
The nurse is talking with a 10-year-old boy who wears bilateral hearing aids. The left hearing aid is making an annoying whistling sound that the child cannot hear. What intervention is the most appropriate nursing action?
- A. Ignore the sound.
- B. Suggest he reinsert the hearing aid.
- C. Ask him to reverse the hearing aids in his ears.
- D. Suggest he raise the volume of the hearing aid.
Correct Answer: B
Rationale: The whistling sound is acoustic feedback, often caused by improper fit or hair in the ear canal. Reinserting the hearing aid correctly resolves this. Ignoring the sound is disruptive, reversing aids is incorrect due to ear-specific molds, and raising the volume worsens feedback.