When developing the teaching plan for parents using the Pavlik harness with their child, what should be the nurse's initial step?
- A. Assessing the parents' current coping strategies.
- B. Determining the parents' knowledge about the device.
- C. Providing the parents with written instructions.
- D. Giving the parents a list of community resources.
Correct Answer: B
Rationale: Determining the parents' knowledge about the Pavlik harness is the initial step to tailor teaching to their understanding and needs.
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On finding a child who is not breathing, which of the following should the nurse do first?
- A. Clear the airway.
- B. Begin mouth-to-mouth resuscitation.
- C. Initiate oxygen therapy.
- D. Start chest compressions.
Correct Answer: A
Rationale: Clearing the airway is the first step in CPR to ensure no obstructions prevent effective ventilation.
The nurse discusses the eating habits of school-age children with their parents, explaining that these habits are most influenced by:
- A. Food preferences of their peers.
- B. Smell and appearance of foods offered.
- C. Examples provided by parents at mealtimes.
- D. Parental encouragement to eat nutritious foods.
Correct Answer: C
Rationale: Parental modeling during meals strongly influences children's eating habits.
When planning home care for the child with Legg-Calvé-Perthes disease, what should be the primary focus for family teaching?
- A. Need for intake of protein-rich foods.
- B. Little stretching exercises for both legs.
- C. Management of the corrective appliance.
- D. Relaxation techniques for pain control.
Correct Answer: C
Rationale: Management of the corrective appliance, such as a brace or traction, is the primary focus to ensure proper use and compliance, which is critical for treatment success.
The nurse is caring for a child in Bryant's traction (see figure). The nurse should:
- A. Adjust the weights on the legs until the buttocks rest on the bed.
- B. Provide frequent skin care.
- C. Place a pillow under the buttocks.
- D. Remove the elastic leg wraps every 8 hours for 10 minutes.
Correct Answer: B
Rationale: Frequent skin care is essential in Bryant's traction to prevent pressure ulcers due to prolonged immobility.
A diagnosis of hemophilia A is confirmed in an infant. Which of the following instructions should the nurse provide the parents as the infant becomes more mobile and starts to crawl?
- A. Administer one-half of a children's aspirin for a temperature higher than 101°F (38.3°C).
- B. Sew thick padding into the elbows and knees of the child's clothing.
- C. Check the color of the child's urine every day.
- D. Expect the eruption of the primary teeth to produce moderate to severe bleeding.
Correct Answer: B
Rationale: Padding protects joints from trauma, reducing bleeding risk in hemophilia. Aspirin increases bleeding, urine checks are unnecessary, and teething bleeding is minimal.
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