Nokea
The first child of a couple is being treated for bronchopulmonary dysplasia (BPD). They ask how to prevent this from happening with the child they are currently expecting. What will the nurse explain as the best way to prevent BPD?
- A. Maternal intake of folic acid
- B. Exercise
- C. Prevention of preterm birth
- D. Provision of oxygen therapy to the newborn
Correct Answer: C
Rationale: The prevention of preterm birth is the best way to prevent BPD, as it is associated with prematurity and prolonged ventilation.
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What classic sign would the nurse, auscultating the breath sounds of a child hospitalized for an acute asthma attack, expect to find?
- A. Fine crackles
- B. Coarse rhonchi
- C. Expiratory wheezing
- D. Decreased breath sounds at lung bases
Correct Answer: C
Rationale: The child experiencing an acute asthma attack wheezes as air moves in and out of the narrowed airways. The expiratory wheeze is most pronounced.
How would the nurse advise a mother to clear the nostrils when her infant has a cold?
- A. Clear the nasal passages after the infant has a feeding.
- B. Use over-the-counter nose drops to clear passages.
- C. Remove nasal secretions with a bulb syringe.
- D. Instill saline nose drops after clearing away secretions.
Correct Answer: C
Rationale: The nasal passages can be cleared by instilling a few drops of saline into the nose and then suctioning the secretions with a bulb syringe.
Which statement indicates that the child's parents understand how to perform respiratory therapy?
- A. We do her postural drainage before the aerosol therapy.'
- B. We give her respiratory treatments when she is coughing a lot.'
- C. We give the aerosol followed by postural drainage before meals.'
- D. She needs respiratory therapy every day when she has an infection.'
Correct Answer: C
Rationale: Postural drainage for the child with CF is done following nebulization. Therapy is best scheduled before meals or at least 1 hour after eating to prevent vomiting.
What will the nurse discourage when providing education to parents of a child with asthma? (Select all that apply.)
- A. Stuffed toys
- B. Pet ownership
- C. Gymnastics
- D. Basketball
- E. Cotton blankets
Correct Answer: A,B,D
Rationale: Stuffed toys and pet ownership can trigger asthma due to allergens, and basketball requires prolonged energy output, which may exacerbate symptoms.
After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications, the nurse explains that routine immunizations will need to be delayed for __ months.
Correct Answer: 9
Rationale: Antiviral medications for RSV can interfere with the immune response to vaccinations, requiring a 9-month delay.