Nokea
A mother has just given birth to a newborn with a cleft lip. Sensing that something is wrong, she starts to cry and asks the nurse, "What is wrong with my baby?" What is the most appropriate nursing action?
- A. Encourage the mother to express her feelings
- B. Explain in simple language that the baby has a cleft lip
- C. Provide emotional support until the practitioner can talk to the mother
- D. Tell the mother a pediatrician will talk to her as soon as the baby is examined
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
Latex allergy is suspected in a child with spina bifida. What are appropriate nursing interventions to include in care of this patient?
- A. Avoid using any latex product.
- B. Use only non-allergenic latex products.
- C. Teach the family about long-term management of asthma.
- D. Administer medication for long-term desensitization.
Correct Answer: A
Rationale: The correct answer is A: 'Avoid using any latex product.' In the case of a suspected latex allergy, it is crucial to prevent exposure to latex products to avoid allergic reactions. Choice B is incorrect because there are no truly non-allergenic latex products. Choice C is irrelevant to the situation described in the question, as the child does not have asthma. Choice D is also incorrect because desensitization is not an immediate option for managing a suspected latex allergy.
The apnea monitor alarm sounds on a neonate for the third time during this shift. What is the priority action by the nurse?
- A. Provide tactile stimulation.
- B. Administer 100% oxygen.
- C. Investigate possible causes of a false alarm.
- D. Assess infant for color and presence of respirations.
Correct Answer: D
Rationale: The priority action for the nurse when the apnea monitor alarm sounds on a neonate is to assess the infant for color and the presence of respirations. This initial assessment helps determine the infant's respiratory status and the need for immediate intervention. Providing tactile stimulation or administering oxygen should only be done after assessing the infant's respiratory status. Investigating possible causes of a false alarm comes after ensuring the infant's well-being through the initial assessment.
The nurse is discussing sexually transmitted infections (STIs) with a 17-year-old student. Which cognitive development theory should the teaching plan be based on?
- A. Sensorimotor reactions
- B. Limited cause and effect understanding
- C. Abstract thinking
- D. Concrete thinking
Correct Answer: C
Rationale: The correct answer is C: 'Abstract thinking.' According to Piaget's theory of cognitive development, adolescents, typically around the age of 12 and older, enter the formal operational stage where they can think abstractly and reason about hypothetical situations. When discussing complex topics like STIs with a 17-year-old student, it is essential to base the teaching plan on abstract thinking. Choice A, 'Sensorimotor reactions,' is incorrect as it pertains to the earliest stage in Piaget's theory (birth to 2 years old) focusing on sensory experiences and physical interactions. Choice B, 'Limited cause and effect understanding,' does not align with the cognitive abilities of a 17-year-old who is capable of more advanced thinking. Choice D, 'Concrete thinking,' is also incorrect as it refers to the stage before formal operations, where individuals think more concretely and struggle with abstract concepts.
The parent of a 2-week-old infant asks the nurse if fluoride supplements are necessary because the infant is exclusively breastfed. What is the nurse's best response?
- A. The infant needs to begin taking them now.
- B. Supplements are not needed if you drink fluoridated water.
- C. The infant may need to begin taking them at age 6 months.
- D. The infant can have infant cereal mixed with fluoridated water instead of supplements.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What information should be given to the parents of a 12-month-old child regarding appropriate play activities for this age?
- A. Give large push-pull toys for kinetic stimulation
- B. Place a cradle gym across the crib to help develop fine motor skills
- C. Provide the child with finger paints to enhance fine motor skills
- D. Provide a stick horse to develop gross motor coordination
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.