Nokea
A young couple of a 2-month-old baby girl with excessive crying seeks medical advice. The LEAST important advice is to
- A. master the situation in a relaxed manner
- B. adhere to precry cues
- C. change milk formula
- D. avoid sensory overstimulation
Correct Answer: C
Rationale: Changing the milk formula is less critical unless there is evidence of intolerance or allergy.
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Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?
- A. Enuresis is more common in girls than in boys.
- B. Enuresis is neither inherited nor has a familial tendency.
- C. Organic causes that may be related to enuresis should be considered first.
- D. Psychogenic factors that cause enuresis persist into adulthood.
Correct Answer: C
Rationale: An important consideration when the nurse is discussing enuresis with the parents of a young child is that organic causes related to enuresis should be considered first. Enuresis, or bedwetting, can have various causes including physical issues like urinary tract infections, constipation, or structural abnormalities. It is essential to rule out any underlying medical conditions before addressing behavioral or psychological factors. By focusing on organic causes first, healthcare providers can ensure that the child receives appropriate evaluation and treatment, leading to better outcomes.
Children with anterior mediastinal masses are at serious risk for airway compromise and vascular obstruction. Which of the following is NOT an indication for CT scan in these cases?
- A. Cardiac tamponade
- B. Airway compromise
- C. Carina compression
- D. Temporo-mandibular subluxation
Correct Answer: D
Rationale: Temporo-mandibular subluxation is unrelated to the assessment of mediastinal masses.
Which of the ff is the best dietary advice to maximize the immune function in healthy people?
- A. Include immune enhancing formulas
- B. Avoid polyunsaturated fatty acids
- C. Increase intake of essential fatty acids and omega 3 fatty acids
- D. Follow a balanced and varied diet CARING FOR CLIENT WITH IMMUNE MEDIATED DISORDERS
Correct Answer: D
Rationale: Following a balanced and varied diet is the best dietary advice to maximize immune function in healthy individuals. A balanced diet that includes a variety of nutrient-dense foods provides the necessary vitamins, minerals, antioxidants, and macronutrients to support overall health and immune function. This approach ensures that the body receives a wide range of nutrients that are essential for optimal immune system functioning.
A 3-month-old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her hands, but she will not voluntarily grasp it. How should the nurse interpret this action?
- A. Normal development
- B. Significant developmental lag
- C. Slightly delayed development due to prematurity
- D. Suggestive of a neurologic disorder such as cerebral palsy
Correct Answer: C
Rationale: At 3 months of age, most infants should be able to voluntarily grasp objects placed in their hands. This infant, who was born at 38 weeks of gestation, is showing signs of slight delay in development. Premature infants often have developmental delays, especially in motor skills, compared to full-term infants. The fact that the infant can hold a rattle if it is put in her hands is a positive sign, indicating that she is on the right track developmentally but might be a little behind schedule. Continuing to monitor the infant's progress and providing appropriate developmental stimulation can help promote further motor skill development. There is no indication at this point to suspect a significant developmental lag or a neurologic disorder like cerebral palsy without further assessment and observation.
Which should the nurse anticipate in the newborn whose mother used cocaine during pregnancy?
- A. Seizures
- B. Hyperglycemia
- C. Cardiac and respiratory problems
- D. Neurobehavioral depression or excitability
Correct Answer: C
Rationale: When a newborn's mother uses cocaine during pregnancy, the baby may experience cardiac and respiratory problems. Cocaine can negatively impact the development of the baby's cardiovascular system, potentially leading to issues such as abnormal heart rhythms, increased blood pressure, and even heart attacks in severe cases. Additionally, cocaine can also affect the respiratory system, putting the newborn at risk of breathing difficulties or even respiratory distress. Therefore, it is crucial for the nurse to anticipate these potential complications and provide appropriate monitoring and care to address any cardiac and respiratory issues that may arise in a newborn exposed to cocaine in utero.