Nokea
Parents of a 6-month-old child, who has just been diagnosed with iron deficiency anemia, ask why it was not diagnosed earlier. What would be the best response by the nurse?
- A. Are you sure your child has iron deficiency anemia?
- B. This happens when the maternal stores of iron are depleted at about 6 months.
- C. This anemia is caused by blood loss.
- D. The child may not have had it for a long time.
Correct Answer: B
Rationale: Iron deficiency anemia becomes apparent at about 6 months of age in a full-term infant, when maternal stores of iron are depleted.
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The nurse reassures the anxious mother of a child with pyloric stenosis who is to have surgery that the surgical procedure, called a
Correct Answer: pyloromyotomy
Rationale: When the muscle is cut, the obstruction is immediately relieved and the child who is hungry will begin to eat and keep food down.
The nurse explains to the parents of a child with developmental hip dysplasia that the application of a Pavlik harness is necessary. In what position will the harness hold the child's femurs?
- A. Abduction
- B. Adduction
- C. Flexion
- D. Extension
Correct Answer: A
Rationale: The use of the Pavlik harness maintains the hips in abduction for 4 to 6 months.
The nurse is caring for a child who has been diagnosed as having an attention deficit hyperactivity disorder (ADHD). What is the most important intervention for the nurse?
- A. Have the child enrolled in a special education class.
- B. Allay any feelings of guilt the parents may have.
- C. Counsel the parents that the medications are lifelong.
- D. Teach the parents to set limits.
Correct Answer: B
Rationale: It is most important to allay any feelings of guilt the parents may have.
Recurrent abdominal pain (RAP) is most often seen in school-age or adolescent children. The nurse should assess closely for what potential problems?
- A. Physical problems
- B. Relational problems
- C. Eating disorders
- D. Emotional problems
Correct Answer: D
Rationale: RAP is often related to emotional factors in the child.
Autism is typically diagnosed between and 3 years of age.
Correct Answer: 2
Rationale: Autistic is typically diagnosed between 2 and 3 years of age.