Nokea
The parents of a child with a tracheoesophageal fistula express feelings of guilt about their baby's anomaly. Which of the following approaches by the nurse would best support the parents?
- A. Helping the parents accept their feelings as a normal reaction.
- B. Explaining that the parents did nothing to cause the newborn's defect.
- C. Encouraging the parents to concentrate on planning their baby's care.
- D. Urging the parents to visit their newborn as often as possible.
Correct Answer: A
Rationale: Acknowledging and normalizing the parents' guilt helps them process emotions and supports coping.
You may also like to solve these questions
A father of a child with a urinary tract infection calls the clinic and explains, "My wife and I are concerned because our child refuses to obey us concerning the preventions you told us about. Our child refuses to take the medication unless we buy a present. We don't want to use discipline because of the illness, but we're worried about the behavior." Which response by the nurse is best?
- A. I sympathize with your difficulties
- B. but just ignore the behavior for now.
- C. I understand it's hard to discipline a child who is ill
- D. but things need to be kept as normal as possible.
- E. I understand that things are difficult for you right now
- F. but your child is ill and deserves special treatment.
- G. I understand your concern
Correct Answer: B
Rationale: Maintaining routines is essential.
A parent brings a 5-year-old child to a vaccination clinic to prepare for school entry. The nurse notes that the child has not had any vaccinations since 4 months of age. To determine the current evidence for best practices for scheduling missed vaccinations the nurse should:
- A. Ask the primary care provider.
- B. Check the website at the Center for Disease Control and Prevention (CDC).
- C. Read the vaccine manufacturer's insert.
- D. Contact the pharmacist.
Correct Answer: B
Rationale: The CDC provides evidence-based catch-up vaccination schedules.
After teaching the parents of a child newly diagnosed with leukemia about the disease, which of the following descriptions given by the mother best indicates that she understands the nature of leukemia?
- A. The disease is an infection resulting in increased white blood cell production.
- B. The disease is a type of cancer caused by an increase in immature white blood cells.
- C. The disease is an inflammation associated with enlargement of the lymph nodes.
- D. The disease is an allergic disorder involving increased circulating antibodies in the blood.
Correct Answer: B
Rationale: Leukemia is a cancer characterized by excessive immature white blood cells. Other descriptions are incorrect.
When preparing to deliver back slaps to an infant who is choking on a foreign body, in which of the following positions should the nurse position the infant?
- A. Head down and lower than the trunk.
- B. Head up and raised above the trunk.
- C. Head to one side and even with the trunk.
- D. Head parallel to the nurse and supported at the buttocks.
Correct Answer: A
Rationale: Positioning the infant head down and lower than the trunk facilitates dislodgement of the foreign body by gravity during back slaps.
The nurse discusses with the parents how best to raise the IQ of their child with Down syndrome. Which of the following would be most appropriate?
- A. Serving hearty, nutritious meals.
- B. Giving vasodilator medications as prescribed.
- C. Letting the child play with more able children.
- D. Providing stimulating, nonthreatening life experiences.
Correct Answer: D
Rationale: Stimulating, nonthreatening experiences promote cognitive development by encouraging exploration and learning within the child's capabilities.