Nokea
Baby Jonathan was born with cleft lip (CL); Nurse Barbara would be alert that which of the following will most likely be compromised?
- A. GI function
- B. Locomotion
- C. Sucking ability
- D. Respiratory status
Correct Answer: C
Rationale: A cleft lip (CL) can significantly impact a baby's ability to create a proper seal while sucking. Sucking ability is crucial for a newborn's feeding process, as it is necessary for obtaining nutrition from breast milk or formula. A compromised sucking ability can lead to difficulties in feeding, inadequate intake of nutrients, and poor weight gain. Therefore, Nurse Barbara should be particularly alert to the potential challenges that baby Jonathan may face in establishing a sufficient sucking mechanism.
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Which statement fosters cultural competence?
- A. Treat everyone the same regardless of their culture
- B. Provide an outline of your beliefs as a starting point
- C. Acknowledge and respond to influences of cultural beliefs in the intervention plan
- D. Ask the family to outline how their beliefs will influence therapy
Correct Answer: C
Rationale: Cultural competence involves recognizing and considering the impact of cultural beliefs on individuals. By acknowledging and responding to these cultural influences in the intervention plan, professionals can tailor their approach effectively and respectfully. This approach helps build trust, enhances communication, and improves outcomes in culturally diverse settings.
Which factor will not promote play and playfulness in children?
- A. Novel toys
- B. Familiar peers
- C. Comfortable atmosphere
- D. Directive adults
Correct Answer: D
Rationale: Directive adults can inhibit spontaneous play and creativity, which are essential for fostering playfulness in children. When adults are too directive, children may feel constrained and less likely to engage in imaginative and free play. Encouraging independence and allowing children to explore and create their play scenarios can enhance playfulness and creativity.
Manifestations of the initial attack of rheumatic fever with carditis may include all the following Except:
- A. Tachycardia out of proportion to fever
- B. Pericardial rub
- C. Heart failure
- D. Apical mid-diastolic rumbling murmur with pre-systolic accentuation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The parents of a 12-month-old child ask the nurse if the child can eat hot dogs as do their other children. The nurse's reply should be based on which of the following?
- A. Child is too young to digest hot dogs.
- B. Child is too young to eat hot dogs safely.
- C. Hot dogs must be sliced into sections to prevent aspiration.
- D. Hot dogs must be cut into small, irregular pieces to prevent aspiration.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. How should this question be considered?
- A. Unnecessary information because child is age 3 years
- B. An important part of the family history
- C. An important part of the child's past history
- D. An important part of the child's review of systems TestBankWorld.org
Correct Answer: C
Rationale: Asking about developmental milestones such as the age at which a child started walking without assistance is considered an important part of the child's past medical history. This information helps the nurse assess if the child is meeting typical developmental milestones for their age. It also provides valuable insight into the child's growth and development, aiding in early identification of any potential developmental delays or concerns. Therefore, in the context of interviewing the mother of a 3-year-old child, inquiring about such developmental milestones is relevant and important for the child's past history.