Nokea
The parents of a newborn with hypospadias are anxious about the timing of the surgical correction. What information should the nurse share with them?
- A. Surgery should be performed within one month to prevent bladder infections.
- B. Postponing the repair until the child reaches school age can alleviate fears of castration.
- C. The repair should be completed before the child is toilet-trained.
- D. The urethral repair should be carried out after the child reaches sexual maturity.
Correct Answer: C
Rationale: Repair before toilet training supports normal urinary function and reduces psychological impact.
You may also like to solve these questions
A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family?
- A. The diaper area shows severe skin breakdown
- B. The mother states the baby is irritable during feedings
- C. The mother is a single parent and lives with her parents
- D. The infant's formula has been changed twice
Correct Answer: A
Rationale: Severe diaper dermatitis causes discomfort, impacting sleep and requiring immediate care.
A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in the plan of care?
- A. Speak to the healthcare provider about instituting physical therapy.
- B. Offer a pacifier for non-nutritive sucking.
- C. Ensure placement of the enteral tube with an abdominal x-ray.
- D. Use sterile technique during feedings.
Correct Answer: B
Rationale: Offering a pacifier for non-nutritive sucking promotes oral feeding skills and emotional stability, supporting normal growth and development in infants with gastroschisis repair.
The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?
- A. Recognizes most letters and numbers.
- B. Uses 1-word sentences.
- C. Speaks in simple sentences with four or more words.
- D. Uses gestures with 1 to 2-word sentences.
Correct Answer: C
Rationale: Speaking in simple sentences with four or more words is a normal milestone for a 3-year-old.
A 5-week-old infant who has been experiencing projectile vomiting after feedings. What additional symptom should the nurse anticipate?
- A. Stool containing mucus and blood.
- B. An olive-sized mass in the epigastric region.
- C. Frequent burping accompanied by poor feeding.
- D. Rebound tenderness in the left lower abdominal quadrant.
Correct Answer: B
Rationale: An olive-sized mass suggests pyloric stenosis, a common cause of projectile vomiting.
The nurse begins collecting the medical history of a child when the child screams and tries to hide behind the parent, dropping a stuffed toy. What intervention should the nurse implement?
- A. Obtain the essential information as quickly as possible.
- B. Include the child's toy in the collection of information.
- C. Document interactions between the parent and the child.
- D. Ignore the child's behavior, directing Questions to a parent.
Correct Answer: B
Rationale: Using the toy reduces fear, creating a comfortable environment for history collection.