Nokea
The parents of a male newborn ask the nurse whether they should have their son circumcised. The nurse ‘s most appropriate response would be:
- A. It would be a good idea because circumcision is known to prevent penile cancer.
- B. That's something you both will have to decide after you discuss it thoroughly with your doctor.
- C. The Academy of Pediatrics recommends that circumcision not be done routinely because of the risks associated with the procedure.
- D. I'm sure you have discussed this with your doctor, but let's review the benefits and risks of circumcision'
Correct Answer: D
Rationale: Providing balanced information facilitates informed decision-making.
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What signs/symptoms should the nurse suspect in a bulimic client?
- A. Significant weight loss and hyperkalemia.
- B. Respiratory acidosis and hypoxemia.
- C. Dental caries and scars on her knuckles.
- D. Hyperglycemia and large urine output.
Correct Answer: C
Rationale: Dental erosion and scars from induced vomiting are classic signs of bulimia.
The newborn's mother is concerned about the shape of the baby's head after delivery. She states that the baby looks like a "cone head." What is the most appropriate response by the nurse?
- A. You don't need to worry about it. It is perfectly normal after birth.
- B. It is molding caused by the pressure during birth and will disappear in a few days.
- C. I will report it to the physician and recommend a diagnostic scan.
- D. It is a collection of blood related to the trauma of delivery and will absorb in a few weeks.
Correct Answer: B
Rationale: Molding is a normal finding after birth and resolves spontaneously.
A mother's laboratory results indicate the presence of cocaine and alcohol. The characteristic in her newborn that would indicate to the nurse that the baby has been affected with fetal alcohol syndrome would be:
- A. Cleft lip
- B. Polydactyly
- C. Umbilical Hernia
- D. Small upturned nose
Correct Answer: D
Rationale: Small upturned nose is a feature of fetal alcohol syndrome.
After teaching a group of parents on childhood discipline, the nurse understands that which statement, made by a parent, demonstrates an understanding of spanking as a form of discipline?
- A. When responding to inappropriate behavior it is OK to lightly spank.
- B. Use a combination of spanking along with other methods of discipline.
- C. Use spanking as a last resort when time-out has failed.
- D. Use methods other than spanking to respond to inappropriate behavior.
Correct Answer: D
Rationale: Because of the negative consequences of spanking, and because it has been shown to be no more effective than other methods for managing inappropriate behavior, it is recommended that parents use methods other than spanking to respond to inappropriate behavior.
The nursing assessment of an infant reveals expiratory grunting, substernal retractions, and a temperature of 99° F (32.2° C). What is the first nursing action?
- A. Place the infant in Trendelenburg position.
- B. Begin administration of 40% humidified oxygen via hood.
- C. Increase the temperature of the environment
- D. Perform a complete assessment for congenital anomalies.
Correct Answer: B
Rationale: Oxygen administration addresses potential respiratory distress.