Nokea
Nurse Bryan knows that one of the most effective strategies to teach a Four year old about safety is to...
- A. Show him potential dangers to avoid
- B. Tell him he is bad when they do something dangerous
- C. Provide good examples of safety behavior
- D. Show him pictures of children who have involve with accidents
Correct Answer: C
Rationale: Modeling safety behavior is an effective way to teach preschoolers.
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Which statement indicates the parents understand when to contact the pediatrician or nurse practitioner?
- A. Infant refuses a feeding
- B. Infant has an axillary temperature of 97°F
- C. Infant has three pasty, yellow-brown stools in 24 hours
- D. Infant's diaper is not wet after 8 hours
Correct Answer: D
Rationale: Decreased or lack of voiding by the newborn should be reported to the pediatrician or nurse practitioner to prevent dehydration.
In a routine prenatal visit, the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR) has dropped to 120 beats/min from a rate of 160 beats/min earlier in the pregnancy. What is the nurses first action?
- A. Ask if the patient has taken a sedative.
- B. Notify the physician.
- C. Turn the patient to her right side.
- D. Record the rate as a normal finding.
Correct Answer: D
Rationale: The FHR at term ranges from a low of 110 to 120 beats/min to a high of 150 to 160 beats/min. This should be recorded as normal. The FHR drops in the late stages of pregnancy.
Constipation is characterized by decrease in the frequency or passage of stools the formation of hard, dry stools usually due to some disease except:
- A. Anal fissure
- B. Imperforate anus
- C. Pyloric stenosis
- D. Hirschsprung's disease.
Correct Answer: C
Rationale: Pyloric stenosis causes vomiting due to gastric outlet obstruction, not constipation. The other conditions (anal fissure, imperforate anus, Hirschsprung’s disease) are directly linked to constipation or stool passage issues.
Which of the following would the nurse need to keep in mind as a predisposing factor when formulating a teaching plan for child with a urinary tract infection?
- A. A shorter urethra in females
- B. Frequent emptying of the bladder
- C. Increased fluid intake
- D. Ingestion of acidic juices
Correct Answer: A
Rationale: In females, the urethra is shorter than in males. This decreases the distance for organisms to travel, thereby increasing the chance of the child developing a urinary tract infection.
The nurse is preparing to administer vaccines to a 4-month-old infant. Which vaccines should the nurse prepare? (Select one that does not apply.)
- A. DTaP
- B. MMR
- C. IPV
- D. Hib
Correct Answer: B
Rationale: At 4 months, per CDC guidelines, infants receive DTaP (diphtheria, tetanus, pertussis), IPV (inactivated poliovirus), and Hib (Haemophilus influenzae type b). MMR and Varicella are typically given at 12-15 months.