When developing a teaching plan for the parents of a child with Down syndrome, the nurse focuses on activities to increase which of the following for the parents?
- A. Affection for their child.
- B. Responsibility for their child's welfare.
- C. Understanding of their child's disability.
- D. Confidence in their ability to care for their child.
Correct Answer: D
Rationale: Building parental confidence empowers them to manage their child's needs effectively, fostering positive outcomes.
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When assessing an infant with suspected inguinal hernia, which of the following findings would be most significant?
- A. The inguinal swelling is reddened, and the abdomen is distended.
- B. The infant is irritable, and a thickened spermatic cord is palpable.
- C. The inguinal swelling can be reduced, and the infant has a stool in the diaper.
- D. The infant's diaper is wet with urine, and the abdomen is nontender.
Correct Answer: B
Rationale: Irritability and a thickened spermatic cord suggest a hernia, indicating possible incarceration.
A 13-month-old has a febrile seizure one month after the administration of the chickenpox vaccine. The nurse should:
- A. Recognize that the events are unrelated.
- B. Report the event through the Vaccine Adverse Event Reporting System.
- C. Explain to the parents that this is a rare but acceptable risk.
- D. Report the incident through the vaccine manufacturer's hotline.
Correct Answer: B
Rationale: Febrile seizures post-vaccination should be reported to VAERS for monitoring vaccine safety.
Laboratory findings indicate that a child with leukemia is also anemic. The nurse interprets this finding as most likely resulting from which of the following?
- A. Inadequate dietary folic acid intake.
- B. Decreased red blood cell production.
- C. Increased destruction of red blood cells by lymphocytes.
- D. Progressive replacement of bone marrow with scar tissue.
Correct Answer: B
Rationale: Leukemia crowds out bone marrow, reducing red blood cell production, causing anemia. Other causes are less likely.
After teaching the family of a child with scoliosis who wears a Boston brace, which of the following activities, if stated by the child and family as occasions appropriate for removal of the brace, indicates successful teaching?
- A. When bathing, for about 1 hour per day.
- B. While eating, for a total of 3 hours a day.
- C. During school, for about 8 hours a day.
- D. When sleeping, for a total of 10 hours a day.
Correct Answer: A
Rationale: The Boston brace can be removed for short periods, such as during bathing, typically limited to about 1 hour per day, to maintain treatment efficacy.
A nurse working in the nursery identifies a goal for a mother of a newborn to demonstrate positive attachment behaviors upon discharge. Which intervention would be least effective in accomplishing this goal?
- A. Provide opportunities for the mother to hold and examine the newborn.
- B. Engage the mother in the newborn's care.
- C. Create an environment that fosters privacy for the mother and newborn.
- D. Identify strategies to prevent difficulties in parenting.
Correct Answer: D
Rationale: Preventing parenting difficulties is less directly related to fostering immediate attachment.
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