Nokea
Which of the following actions indicates that the parents of a 12-month-old with iron deficiency anemia understand how to administer iron supplements?
- A. They administer iron supplements in combination with fruit juice.
- B. They administer iron supplements with meals.
- C. They report dark stools.
- D. They brush the child's teeth after administering the iron supplements.
- E. They decrease dietary intake of foods fortified with iron.
Correct Answer: A,C,D
Rationale: Iron with fruit juice enhances absorption, dark stools are expected, and brushing teeth prevents staining. Iron with meals reduces absorption, and fortified foods should not be decreased.
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The mother asks the nurse about using a car seat for her toddler who is in a hip spica cast. The nurse should tell the mother:
- A. You can use a seat belt because of the spica cast.'
- B. You will need a specially designed car seat for your toddler.'
- C. You can still use the car seat you already have.'
- D. You'll need to get a special release from the police so that a car seat won't be needed.'
Correct Answer: B
Rationale: A specially designed car seat is required to accommodate the hip spica cast and ensure safety during transport.
Which of the following is appropriate language development for an 8-month-old? The child should be:
- A. Saying 'dada' and 'mama' specifically ('dada' to father and 'mama' to mother).
- B. Saying three other words besides 'mama' and 'dada.'
- C. Saying 'dada' and 'mama' nonspecifically.
- D. Saying 'ball' when parents point to a ball.
Correct Answer: C
Rationale: At 8 months, infants typically say 'dada' and 'mama' nonspecifically, as specific use develops closer to 12 months.
The nurse is assessing a child with celiac disease. Which symptom should the nurse expect?
- A. Constipation.
- B. Abdominal distension.
- C. Fever.
- D. Joint pain.
Correct Answer: B
Rationale: Abdominal distension is a common symptom of celiac disease due to malabsorption and gas. Diarrhea is more typical than constipation, and fever or joint pain are less specific.
After the nurse teaches the mother of a child with atopic dermatitis how to bathe her child, which of the following statements by the mother indicates effective teaching?
- A. I let my child play in the tub for 30 minutes every night.
- B. I would loves the bubble bath I put in the tub.
- C. When my child gets out of the tub I just pat the skin dry.
- D. I make sure my child has a bath every night.
Correct Answer: C
Rationale: Patting the skin dry prevents irritation and maintains skin integrity in atopic dermatitis. Prolonged baths, bubble baths, and daily bathing can exacerbate dryness and irritation.
Which of the following statements made by the mother of a school-age child who has had a craniotomy for a brain tumor would warrant further exploration by the nurse?
- A. After this, I'll never let her out of my sight again.'
- B. I hope that she'll be able to go back to school soon.'
- C. I wonder how long it will be before she can ride her bike.'
- D. Her best friend is eager to see her; I hope she won't be upset.'
Correct Answer: A
Rationale: Overprotectiveness may indicate anxiety or maladaptive coping, requiring further exploration to support the mother's emotional adjustment.