Nursing Care of Children ATI

Nursing Care of Children ATI Related

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A new parent, when asked by a nurse, explains that the 4-month-old infant has been nursing regularly every 3 to 4 hours and seems satisfied. However, the parent recently introduced solid food in the form of unbuttered popcorn to the infant as a supplement. What should be the primary nursing concern in this situation?

  • A. Imbalanced nutrition, more than body requirements, related to introduction of a high-calorie food
  • B. Risk for aspiration related to feeding the infant an inappropriate food
  • C. Imbalanced nutrition, less than body requirements, related to introduction of a low-nutritive food
  • D. Readiness for enhanced nutrition, related to the age of the infant
Correct Answer: B

Rationale: The primary nursing concern in this situation is the risk for aspiration. Popcorn is a choking hazard for infants, as their airway is not fully developed to handle solid foods like popcorn. Choices A, C, and D are incorrect because the main focus should be on the immediate risk of aspiration due to the inappropriate solid food given to the infant, rather than on nutritional imbalances or readiness for enhanced nutrition.

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The parents of a 4-month-old infant tell the nurse that they are getting a microwave oven and will be able to heat the baby's formula faster. What should the nurse recommend?

  • A. Heat only 8 oz or more.
  • B. Do not heat a plastic bottle in a microwave oven.
  • C. Leave the bottle top uncovered to allow heat to escape.
  • D. Shake the bottle vigorously for at least 30 seconds after heating.
Correct Answer: B

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

At what point in the hospitalization of the pediatric patient should discharge planning and teaching begin?

  • A. Post-operatively
  • B. Right when the patient is being discharged with the parents and support members present
  • C. On the morning that the patient is scheduled to go home
  • D. On admission
Correct Answer: D

Rationale: Discharge planning should begin on admission to ensure that all necessary teaching and preparations are completed in a timely manner. Starting discharge planning early allows for a comprehensive assessment of the patient's needs, coordination with the healthcare team, and adequate time for patient and family education. Choice A, post-operatively, is too late in the process and may lead to rushed planning. Choice B, right at discharge, may not allow enough time for thorough preparation. Choice C, on the morning of discharge, also does not provide sufficient time for effective planning and education.

The nurse is performing an assessment on a 10-week-old infant. The nurse understands that the developmental characteristic of hearing at this age is which?

  • A. The infant responds to his own name.
  • B. The infant localizes sounds by turning his head directly to the sound.
  • C. The infant turns his head to the side when sound is made at the level of the ear.
  • D. The infant locates sound by turning his head to the side and then looking up or down.
Correct Answer: C

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

At which age can most infants sit steadily unsupported?

  • A. 4 months
  • B. 6 months
  • C. 8 months
  • D. 12 months
Correct Answer: C

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

At which age do most infants begin to fear strangers?

  • A. 2 months
  • B. 4 months
  • C. 6 months
  • D. 12 months
Correct Answer: C

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

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