Nokea
In fetal period, all are true EXCEPT
- A. 10 weeks - midgut returns to abdomen
- B. 12 weeks - external genitalia formed
- C. 24 weeks - surfactant production begun
- D. 26 weeks - face clearly recognizable
Correct Answer: D
Rationale: Face recognition typically occurs earlier than 26 weeks.
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A child with thalassemia was given deferoxamine (Desferal); which of the following should alert the nurse to notify the physician?
- A. Decreased hearing
- B. Hypertension
- C. Red urine
- D. Vomiting
Correct Answer: A
Rationale: Deferoxamine is a chelating agent used to treat iron overload in patients such as those with thalassemia. One of the serious side effects of deferoxamine is ototoxicity, which can manifest as decreased hearing or ringing in the ears. Therefore, if a child with thalassemia who is taking deferoxamine experiences a decrease in hearing, the nurse should promptly notify the physician for further evaluation and possible adjustment of the treatment plan to prevent further hearing damage. Hypertension, red urine, and vomiting are possible side effects of deferoxamine, but decreased hearing is the most concerning side effect that requires immediate attention due to the risk of permanent damage.
The nurse is talking to a parent of an infant with severe atopic dermatitis (eczema). Which response(s) should the nurse reinforce with the parent? (Select all that apply.)
- A. "You can use warm wet compresses to relieve discomfort."
- B. "You will need to keep your infant's skin well hydrated by using a mild soap in the bath."
- C. "You should bathe your baby in a bubble bath two times a day."
- D. "You will need to prevent your baby from scratching the area by using a mild antihistamine."
Correct Answer: A
Rationale: "You can use warm wet compresses to relieve discomfort." Warm wet compresses can help soothe the affected area and provide relief from itching and discomfort associated with atopic dermatitis.
Parents tell the nurse that their 1-year-old son often sleeps with them. They seem unconcerned about this. The nurse's response should be based on which statement?
- A. Children should not sleep with their parents.
- B. Separation from parents should be completed by this age.
- C. Daytime attention should be increased.
- D. This is a common and accepted practice, especially in some cultural groups.
Correct Answer: D
Rationale: The correct response is D because it acknowledges that co-sleeping with children, especially infants and toddlers, is a common and accepted practice in various cultural groups. Co-sleeping can have benefits such as promoting bonding and facilitating breastfeeding. However, it is essential for the nurse to educate the parents on safe sleep practices to reduce the risk of Sudden Infant Death Syndrome (SIDS) or other sleep-related accidents. It is important to provide guidance on creating a safe sleep environment for the child if they continue co-sleeping.
The nurse is conducting a staff in-service on newborn defects of the genitourinary system. Which describes the narrowing of the preputial opening of the foreskin?
- A. Chordee
- B. Phimosis
- C. Epispadias
- D. Hypospadias
Correct Answer: B
Rationale: Phimosis is the term used to describe the narrowing of the preputial opening of the foreskin in males. This condition does not allow the foreskin to be fully retracted over the head of the penis, which can cause issues with hygiene and potentially lead to infections. Phimosis can occur in newborns and also persist into adulthood if not treated. It is important for healthcare providers, including nurses, to be aware of this condition in order to provide appropriate education and intervention when needed.
To return a patient with hyponatremia to normal sodium levels, it is safer to restrict fluid intake than to administer sodium:
- A. In patients who are unconscious
- B. In patients who show neurologic
- C. To prevent fluid overload symptoms
- D. To prevent dehydration
Correct Answer: C
Rationale: It is safer to restrict fluid intake rather than administer sodium to return a patient with hyponatremia to normal sodium levels to prevent fluid overload symptoms. Restoring normal sodium levels in patients with hyponatremia requires caution to prevent rapid correction which can lead to osmotic demyelination syndrome. By restricting fluid intake, the dilutional effect on sodium levels can be reduced, aiding in a safer and more controlled correction of hyponatremia without causing fluid overload. Administering sodium can lead to rapid changes in sodium levels, increasing the risk of complications.