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The BEST statement describing the implication of a 6-month-old boy 'transferring object to hand' is
- A. visuomotor coordination
- B. comparison ability
- C. voluntary release of objects
- D. increasing autonomy
Correct Answer: A
Rationale: Transferring objects between hands indicates developing visuomotor coordination.
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The MOST common cause of obstructive sleep apnea in children is
- A. obesity
- B. allergies
- C. adenotonsillar hypertrophy
- D. pharyngeal reactive edema due to gastroesophageal reflux
Correct Answer: C
Rationale: Adenotonsillar hypertrophy is the leading cause of obstructive sleep apnea in children.
In embryonic period, formation of all of the following occur by the given time EXCEPT
- A. 8 days - blastocyst formation
- B. 6 weeks - ectoderm formation
- C. 8 weeks - crown-rump length about 3 cm
- D. 10 weeks - endoderm formation
Correct Answer: D
Rationale: Endoderm formation occurs much earlier than 10 weeks in the embryonic period.
The newborn with severe jaundice is at risk for developing:
- A. encephalopathy.
- B. bullous impetigo.
- C. respiratory distress.
- D. blood incompatibility.
Correct Answer: A
Rationale: Severe jaundice in a newborn puts them at risk for developing encephalopathy, which is a condition where bilirubin levels are significantly elevated and can lead to central nervous system dysfunction. If untreated or not managed promptly, high levels of bilirubin can potentially lead to brain damage. It is crucial to monitor and treat severe jaundice in newborns to prevent neurological complications like encephalopathy. Options B, C, and D are not directly associated with severe jaundice in newborns.
An adult is to receive narcotic analgesics via patient controlled analgesia. The nurse is evaluating client's understanding of the procedure. Which of the following statements by the client indicates that she understand PCA?
- A. When I press this button the machine will always give me more medicine
- B. I will press the button whenever I feel pain
- C. I should press this button every hour so the pain doesn't come back
- D. With this machine I will experience no more pain
Correct Answer: B
Rationale: Statement B, "I will press the button whenever I feel pain," indicates that the client understands how to use the patient-controlled analgesia (PCA). PCA systems are designed to allow patients to self-administer a predetermined dose of pain medication when needed. This statement demonstrates the client's comprehension that it is appropriate to use the PCA when pain is experienced, navigating the misunderstanding that pressing the button will always give more medicine (A), that it should be pressed on a scheduled basis regardless of pain (C), or that it will completely eliminate pain (D).
A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse, "Wait a minute" and "I'm not ready." The nurse should recognize this as which description?
- A. This is normal behavior for a school-age child.
- B. The behavior is not seen past the preschool years.
- C. The child thinks the nurse is punishing her.
- D. The child has successfully manipulated the nurse in the past.
Correct Answer: A
Rationale: This is normal behavior for a school-age child. School-age children often assert their independence and control in various situations, such as medical procedures. It is common for children in this age group to express hesitation or resistance when faced with something uncomfortable or unfamiliar, like starting an IV line. The child's behavior of saying "Wait a minute" and "I'm not ready" is a typical response for a 10-year-old girl and does not necessarily indicate manipulation, punishment perception, or behavior typical of younger children. In this case, the nurse should acknowledge the child's feelings, provide reassurance, and offer explanations to help her feel more comfortable and in control of the situation.