RN Nursing Care of Children Online Practice 2019 A

RN Nursing Care of Children Online Practice 2019 A Related

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A parent brings their 2-year-old son in for a well visit. The nurse assesses his growth since the last appointment. Which finding should concern the nurse?

  • A. Prominent abdomen
  • B. Forward curve of the spine in the sacral area
  • C. Increase in height of 5 inches in the past year
  • D. Total weight gain of 15 lb in the past year
Correct Answer: D

Rationale: The correct answer is D. A total weight gain of 15 lb in one year for a 2-year-old is excessive and may indicate an underlying issue such as a metabolic disorder or overfeeding. This rapid weight gain can put the child at risk for health problems. Choices A, B, and C are not typically concerning findings in a 2-year-old. A prominent abdomen can be normal at this age due to a toddler's slightly protruding belly, a forward curve of the spine at the sacral area is a typical finding in young children, and an increase in height of 5 inches in a year is within the expected range of growth for a 2-year-old.

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What is a primary consideration for complications when planning nursing care for an infant with Meconium aspiration syndrome?

  • A. Hypoglycemia
  • B. Bowel obstruction
  • C. Airway obstruction
  • D. Carbon dioxide retention
Correct Answer: C

Rationale: The correct answer is C: Airway obstruction. When planning nursing care for an infant with Meconium aspiration syndrome, a primary consideration for complications is the potential of airway obstruction. After the passage of meconium into the amniotic fluid, the infant may inhale or swallow the fluid, leading to meconium aspiration into the lower airways and causing a partial airway obstruction. This can result in respiratory distress and hypoxemia. Hypoglycemia (choice A) is a metabolic condition unrelated to meconium aspiration. Bowel obstruction (choice B) with meconium may indicate other conditions like cystic fibrosis or Hirschsprung disease, not directly related to meconium aspiration syndrome. Carbon dioxide retention (choice D) is not a primary consideration in meconium aspiration syndrome; instead, the focus is on addressing the airway obstruction and potential respiratory compromise.

What is the first sign of puberty in girls?

  • A. Acne
  • B. Hair growth in the pubic area and underarms
  • C. Thelarche
  • D. Menarche
Correct Answer: C

Rationale: The correct answer is C, Thelarche. Thelarche refers to the onset of breast development, which is typically the first sign of puberty in girls. This occurs before menarche (the first menstrual period). Choices A and B, acne and hair growth in the pubic area and underarms, are not the first signs of puberty in girls. While acne can be a common occurrence during puberty, it usually appears after other physical changes. Hair growth in the pubic area and underarms also occurs later in the puberty process.

In general, how much is a child that was 10 pounds at birth expected to weigh at 6 months old?

  • A. Double = 20 lbs
Correct Answer: A

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

Chemicals, agents, or factors that cause physical defects in the developing embryo and are most harmful during organogenesis are:

  • A. Teratogens
  • B. Heterozygous
  • C. Inborn errors
  • D. Multifactorial
Correct Answer: A

Rationale: Teratogens are substances that can cause congenital abnormalities, especially during the first trimester when organogenesis occurs. Choice A, Teratogens, is the correct answer as it specifically refers to substances that cause physical defects in the developing embryo. Choices B, Heterozygous, C, Inborn errors, and D, Multifactorial, are incorrect as they do not directly relate to substances that cause physical defects in embryos during organogenesis.

The nurse determines that a child's intravenous infusion has infiltrated. The infused solution is a vesicant. What is the most appropriate nursing action?

  • A. Stop the infusion and apply ice.
  • B. End the infusion and notify the practitioner.
  • C. Slow the infusion rate and notify the practitioner.
  • D. Discontinue the infusion and apply warm compresses.
Correct Answer: B

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

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