Nokea
Which of the following structures should be closed by the time the child is 2 months old?
- A. A.
- B. B.
- C. C.
- D. D.
Correct Answer: C
Rationale: posterior fontanelle closes by 2 months.
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A nurse is planning a diet for a client with cystic fibrosis. Which of the following foods should not be included in the meal plan?
- A. Roasted chicken.
- B. Fried scallops.
- C. Milk shake.
- D. Egg omelet.
Correct Answer: B
Rationale: Fried scallops are high in fat and difficult to digest for a client with cystic fibrosis due to pancreatic insufficiency. A high-calorie, high-protein diet with moderate fat and pancreatic enzyme supplements is more appropriate.
The nurse is assessing a 9-year-old child who has third-degree burns as shown below. Using the 'Rule of Nines' adapted for children, the nurse estimates that the extent of burns for this child is:
- A. 9%.
- B. 14%.
- C. 18%.
- D. 24%.
Correct Answer: C
Rationale: In children, the Rule of Nines assigns 18% to each arm (including forearm and hand). A third-degree burn on one forearm approximates 18%, assuming the burn covers the entire forearm as implied.
Which of the following measures would be most effective in helping the infant with a cleft lip and palate to retain oral feedings?
- A. Burp the infant at frequent intervals.
- B. Feed the infant small amounts at one time.
- C. Place the end of the nipple far to the back of the infant's tongue.
- D. Maintain the infant in a lying position while feeding.
Correct Answer: B
Rationale: Feeding small amounts at a time reduces the risk of aspiration and helps the infant manage feedings despite the cleft, promoting retention.
The nurse formulates the nursing diagnosis Imbalanced Nutrition: Less than body requirements related to negative feeding patterns for a 5-month-old infant diagnosed with failure to thrive. To meet the short-term outcomes of the infant's plan of care, the nurse should expect to do which of the following?
- A. Instruct the parents in proper feeding techniques.
- B. Give infant formula that has 24 calories/ounce.
- C. Provide consistent staff to care for the infant.
- D. Allow the infant to sit in a high chair during feedings.
Correct Answer: A
Rationale: Teaching proper feeding techniques corrects negative patterns, improving intake. Higher-calorie formula or consistent staff are secondary, and high chairs are unsuitable for a 5-month-old.
The parents of a child tell the nurse that they feel guilty because their child almost drowned. Which of the following remarks by the nurse would be most appropriate?
- A. I can understand why you feel guilty, but these things happen.'
- B. Tell me a little bit more about your feelings of guilt.'
- C. You should not have taken your eyes off of your child.'
- D. You really shouldn't feel guilty; you're lucky because your child will be all right.'
Correct Answer: B
Rationale: Encouraging parents to express their feelings facilitates therapeutic communication and supports emotional processing.