Nokea
The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under which broader term?
- A. Child abandonment
- B. Child mismanagement
- C. Child maltreatment
- D. Child torment
Correct Answer: C
Rationale: Child maltreatment is a broad term used to describe neglect and abuse of children.
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When discussing growth and development with the parents of a child, the nurse explains that nutrition is the single most important influence on:
- A. cognitive development.
- B. secondary sexual characteristics.
- C. the production of blood cells.
- D. the growth of bones and muscle.
Correct Answer: D
Rationale: Nutrition is probably the single most important influence on growth.
When measuring the head circumference of an infant, where should the nurse place the tape measure?
- A. Across the eyebrows and around the occipital lobe
- B. Over the zygomatic arches and around the parietal areas
- C. Around forehead and around the crown of the head
- D. Above the eyebrows and pinnas, and around the occipital lobe
Correct Answer: D
Rationale: Head circumference is measured in children up to 36 months above the eyebrows and pinnas, and around the occipital lobe.
What is the purpose of a mist tent?
- A. To provide a constant oxygen supply
- B. To liquefy respiratory secretions
- C. To aid in lowering temperature
- D. To improve the infant's hydration
Correct Answer: B
Rationale: The purpose of the mist tent is to liquefy respiratory secretions. A constant oxygen supply can be given by methods other than a mist tent. A mist tent does not lower temperature or improve hydration.
Following a lumbar puncture of a 2-year-old, what should the nurse do?
- A. Keep the child flat for several hours.
- B. Allow the child to play quietly at will.
- C. Hold the child in a flexed position for 5 minutes.
- D. Stand the child upright immediately.
Correct Answer: B
Rationale: Children younger than 3 years of age are usually not affected by postlumbar headache. These children are allowed to play at will following a lumbar puncture.
The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports. What response by the nurse is the most appropriate?
- A. Although the actual reports are not shared, I can tell you the blood sugar is 200 mg.
- B. I'll write them down for you and bring them to your room.
- C. Come to the conference room where we can have privacy while you look at them.
- D. I'll notify the health care provider that you wish to see the reports.
Correct Answer: C
Rationale: With a family-centered care approach, hospitals welcome parents, and parents have access to information 24 hours a day.