RN Nursing Care of Children Online Practice 2019 A

RN Nursing Care of Children Online Practice 2019 A Related

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A mother delivers an infant at 30 weeks gestation. The mother asks the nurse for information on nutrition and if formula would be better since the baby is premature. What is the foundation for the response to the mother by the nurse?

  • A. Human milk is preferred over other types of nutrition.
  • B. Human milk lacks essential nutrients when the infant is preterm.
  • C. Commercial infant formulas are preferred over other types of nutrition.
  • D. Commercial infant formulas have not been designed to meet the nutritional needs of preterm infants.
Correct Answer: A

Rationale: The correct answer is A. Human milk is the preferred food for infants, including preterm infants. It contains essential ingredients necessary for the infant's growth and development. The mother should pump her breasts to provide milk for the infant if the child is receiving enteral feedings. Once the infant can coordinate breathing, sucking, and swallowing, breastfeeding directly is encouraged. Studies have shown that preterm infants fed fortified human milk have better outcomes compared to those fed commercial infant formulas. Commercial infant formulas may not fully meet the unique nutritional needs of preterm infants, leading to potential longer hospital stays. Therefore, human milk is the best choice for feeding premature infants.

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The parents of a child with acute postinfectious glomerulonephritis (APIGN) ask how they will know that the condition is improving. How should the nurse respond?

  • A. Your child's urine output will increase, and the urine will become less brown in color.
  • B. Your child will rest more comfortably.
  • C. Your child's appetite will decrease.
  • D. Your child's laboratory test values will show increased BUN.
Correct Answer: A

Rationale: Improvement in APIGN is indicated by an increase in urine output and a change in urine color from brown (due to hematuria) to a more normal appearance. This reflects a reduction in glomerular inflammation and improved kidney function. Choice B is incorrect because resting more comfortably is not a direct indicator of kidney function improvement. Choice C is incorrect because a decrease in appetite is not typically associated with improvement in APIGN. Choice D is incorrect because an increased BUN value would suggest worsening kidney function rather than improvement.

The nurse is preparing a 9-year-old boy before obtaining a blood specimen by venipuncture. The child tells the nurse he does not want to lose his blood. What approach is best by the nurse?

  • A. Explain that it will not be painful.
  • B. Suggest to him that he not worry about losing just a little bit of blood.
  • C. Discuss with him how his body is always in the process of making blood.
  • D. Tell the child that he will not even need a Band-Aid afterward because it is a simple procedure.
Correct Answer: C

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

An appropriate method for administering oral medications that are bitter to an infant or small child should be to mix them with which?

  • A. Bottle of formula or milk
  • B. Any food the child is going to eat
  • C. One teaspoon of something sweet-tasting such as jam
  • D. Carbonated beverage, which is then poured over crushed ice
Correct Answer: C

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

The nurse on a pediatric unit is writing guidelines for age-specific preparation of children for procedures based on developmental characteristics. What guideline is accurate?

  • A. Inform toddlers about an upcoming procedure 2 hours before the procedure is to be performed.
  • B. Inform school-age children about an upcoming procedure immediately before the procedure is scheduled to occur.
  • C. Discourage parent presence during procedures on infants and toddlers.
  • D. Use simple diagrams of anatomy and physiology to explain a procedure to a school-age child.
Correct Answer: D

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

When describing play by the school-aged child to a group of nursing students, the instructor would emphasize the need for which of the following?

  • A. Recreation
  • B. Ritualism
  • C. Physical activity
  • D. Rules
Correct Answer: D

Rationale: The correct answer is D: Rules. When discussing play in school-aged children, rules are essential as they help in structuring games and social interactions. Rules provide a framework for play, ensuring fairness and cooperation among children. Choice A, recreation, is too broad and doesn't specifically address the importance of rules in play. Choice B, ritualism, is unrelated to the concept of play in school-aged children. Choice C, physical activity, is important for overall health but doesn't capture the specific aspect of rules that are crucial in the play of school-aged children.

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