Nokea
When explaining the plan of care to the parents of an infant with an undescended testis, the nurse should tell the parents about which of the following as a nonsurgical treatment method?
- A. A trial of human chorionic gonadotrophic hormone.
- B. A trial of adrenocorticotropic hormone.
- C. Frequent stimulation of the cremasteric reflex.
- D. Use of several warm baths each day.
Correct Answer: A
Rationale: hCG can stimulate testicular descent in some cases.
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When developing the plan of care for an infant with a cleft lip before corrective surgery is performed, which of the following should be a priority?
- A. Maintaining skin integrity in the oral cavity.
- B. Using techniques to minimize crying.
- C. Altering the usual method of feeding.
- D. Preventing the infant from putting fingers in the mouth.
Correct Answer: C
Rationale: Altering feeding methods is critical to ensure adequate nutrition and prevent aspiration due to the anatomical defect of a cleft lip.
Which of the following should the nurse include in the teaching plan for a child with iron deficiency anemia to increase iron absorption?
- A. Administer iron supplements with milk.
- B. Take iron supplements between meals.
- C. Avoid eating green leafy vegetables.
- D. Limit intake of citrus fruits.
Correct Answer: B
Rationale: Taking iron supplements between meals enhances absorption, as food, especially milk, can interfere. Citrus fruits and leafy greens support absorption.
A 1-year-old child is scheduled for surgery to correct hypospadias and chordee. The nurse explains to the parents that this is the preferred time for surgical repair based on which of the following?
- A. At this age, the child will experience less pain.
- B. The child is too young to have developed castration anxiety.
- C. The child will not remember the surgical experience.
- D. The repair is easier to perform after the child is toilet trained.
Correct Answer: C
Rationale: Younger children may not remember the experience.
A 10-month-old looks for objects that have been removed from his view. The nurse should instruct the parents that:
- A. Neuromuscular development enables the child to reach out and grasp objects.
- B. The child's curiosity has increased.
- C. The child understands the permanence of objects even though the child cannot see them.
- D. The child is now able to transfer objects from hand to hand.
Correct Answer: C
Rationale: This behavior indicates object permanence, a cognitive milestone typically achieved around 9-12 months.
A nurse is teaching a child with a food allergy about safe eating. Which instruction is most important?
- A. Eat only home-cooked meals.
- B. Read food labels carefully.
- C. Avoid all fruits.
- D. Use herbal supplements.
Correct Answer: B
Rationale: Reading food labels prevents accidental allergen exposure. Home cooking helps but isn't always feasible, fruits are safe unless allergenic, and supplements are irrelevant.