Nursing Care of Children ATI

Nursing Care of Children ATI Related

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Which nursing intervention should be included in the postoperative care of a child following a tonsillectomy?

  • A. Encourage the child to blow the nose gently
  • B. Notify the physician if mucus is observed in the emesis
  • C. Position the child supine in the immediate postoperative period
  • D. Avoid giving citrus juice
Correct Answer: D

Rationale: The correct answer is D: 'Avoid giving citrus juice.' Citrus juice can irritate the throat after a tonsillectomy, so it should be avoided. Choice A is incorrect because blowing the nose gently is not a recommended intervention following a tonsillectomy. Choice B is incorrect as mucus in emesis is not uncommon postoperatively and does not necessarily require physician notification. Choice C is incorrect as positioning the child supine immediately postoperatively can increase the risk of airway obstruction and should be avoided.

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An infant is diagnosed with a tracheoesophageal fistula. Which assessment finding should the nurse expect?

  • A. Jaundice
  • B. Hyperactive bowel sounds
  • C. Absence of sucking, vomiting
  • D. Coughing, with excessive secretion
Correct Answer: D

Rationale: Coughing with excessive secretion is a common sign of tracheoesophageal fistula. In this condition, the connection between the trachea and esophagus allows saliva and food to enter the airways, leading to coughing and excessive secretions. Choice A, jaundice, is not typically associated with tracheoesophageal fistula. Hyperactive bowel sounds (Choice B) are more likely seen in conditions like gastroenteritis. Absence of sucking and vomiting (Choice C) is not a typical finding related to tracheoesophageal fistula.

At which age should the nurse expect an infant to begin smiling in response to pleasurable stimuli?

  • A. 1 month
  • B. 2 months
  • C. 3 months
  • D. 4 months
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The clinic nurse is teaching parents about physiologic anemia that occurs in infants. What statement should the nurse include about the cause of physiologic anemia?

  • A. Maternally derived iron stores are depleted in the first 2 months.
  • B. Fetal hemoglobin results in a shortened survival of red blood cells.
  • C. The production of adult hemoglobin decreases in the first year of life.
  • D. Low levels of fetal hemoglobin depress the production of erythropoietin.
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

At which age can most infants sit steadily unsupported?

  • A. 4 months
  • B. 6 months
  • C. 8 months
  • D. 12 months
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

In terms of gross motor development, what should the nurse expect an infant age 5 months to do?

  • A. Sit erect without support
  • B. Roll from the back to the abdomen
  • C. Turn from the abdomen to the back
  • D. Move from a prone to a sitting position
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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