Nokea
When assessing a 2-year-old child brought by his mother to the clinic for a routine checkup, which of the following should the nurse expect the child to be able to do?
- A. Ride a tricycle.
- B. Tie his shoelaces.
- C. Kick a ball forward.
- D. Use blunt scissors.
Correct Answer: C
Rationale: Kicking a ball forward is a gross motor skill expected at 2 years.
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Because of the risks associated with administration of factor VIII concentrate, the nurse should teach the child's family to recognize and report which of the following?
- A. Yellowing of the skin.
- B. Constipation.
- C. Abdominal distention.
- D. Puffiness around the eyes.
Correct Answer: A
Rationale: Yellowing of the skin (jaundice) may indicate hepatitis, a risk with factor VIII. Other symptoms are less directly related to factor risks.
A mother has heard that several children have been diagnosed with mononucleosis. She asks the nurse what ascendancy what precautions should be taken to prevent this from occurring in her child. The nurse should instruct the mother to:
- A. Take no particular precautionary measures.
- B. Sterilize the child's eating utensils before they are reused.
- C. Wash the child's linens separately in hot, soapy water.
- D. Wear masks when providing direct personal care.
Correct Answer: A
Rationale: Mononucleosis spreads through saliva, but routine hygiene is sufficient; no special precautions are needed.
A 9-year-old child with Guillain-Barré syndrome requires mechanical ventilation. Which action should the nurse take?
- A. Maintain the child in a supine position to prevent unnecessary nerve stimulation.
- B. Transfer the child to a bedside chair three times a day to prevent postural hypotension.
- C. Engage the child in vigorous passive range-of-motion exercises to prevent loss of muscle function.
- D. Turn the child slowly and gently from side to side to prevent respiratory complications.
Correct Answer: D
Rationale: Turning the child gently prevents respiratory complications like atelectasis while minimizing discomfort in Guillain-Barré syndrome.
After discussing asthma as a chronic condition, which of the following statements by the father of a child with asthma best reflects the family's positive adjustment to this aspect of the child's disease?
- A. I try to keep him happy at all costs; otherwise, he has an asthma attack.
- B. We keep our child away from other children to help cut down on infections.
- C. Although our child's disease is serious, we try not to let it be the focus of our family.
- D. I'm afraid that when my child gets older, he won't be able to care for himself like I do.
Correct Answer: C
Rationale: The statement 'Although our child's disease is serious, we try not to let it be the focus of our family' reflects a positive adjustment, indicating the family is managing the chronic condition without letting it dominate their lives.
During a clinic visit, the mother of an infant with hydrocele states that the infant's scrotum is smaller now than when he was born. After teaching the mother about the infant's condition, which of the following statements by the mother indicates that the teaching has been effective?
- A. I guess keeping his bottom up has helped.
- B. Massaging his groin area is working.
- C. It seems like the fluid is being reabsorbed.
- D. Keeping him quiet and in an infant seat has helped.
Correct Answer: C
Rationale: Fluid reabsorption is a natural resolution process.