Which one of the following children is at most risk for sudden infant death syndrome (SIDS)?
- A. Infant who is 3 months old.
- B. 2-year-old who has apnea lasting up to 5 seconds.
- C. First-born child whose parents are in their 40s.
- D. 6-month-old who has had two bouts of pneumonia.
Correct Answer: A
Rationale: A 3-month-old infant is at the highest risk for SIDS, as the peak incidence occurs between 2 and 4 months of age.
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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.
The mother of a toddler with nephrotic syndrome asks the nurse what can be done about the child's swollen eyes. Which measure should the nurse suggest?
- A. Applying cool compresses to the child's eyes.
- B. Elevating the head of the child's bed.
- C. Applying eye drops every 8 hours.
- D. Limiting the child's television watching.
Correct Answer: B
Rationale: Elevation reduces swelling.
The mother of a 4-year-old expresses concern that her child may be hyperactive. She describes the child as always in motion, constantly dropping and spilling things. Which of the following actions would be appropriate at this time?
- A. Determine whether there have been any changes at home.
- B. Explain that this is not unusual behavior.
- C. Explore the possibility that the child is being abused.
- D. Assess that the child be seen by a pediatric neurologist.
Correct Answer: A
Rationale: Assessing home changes helps identify triggers for the behavior before assuming pathology.
Which intervention should the nurse prioritize for an infant with failure to thrive?
- A. Administer IV fluids.
- B. Establish a feeding schedule.
- C. Order a developmental evaluation.
- D. Increase room temperature.
Correct Answer: B
Rationale: A consistent feeding schedule addresses poor intake, promoting weight gain. IV fluids are for acute dehydration, developmental evaluation is secondary, and room temperature is less relevant.
The nurse determines that interventions for decreasing fluid retention have been effective when the child with nephrotic syndrome demonstrates evidence of which of the following?
- A. Decreased abdominal girth.
- B. Increased caloric intake.
- C. Increased respiratory rate.
- D. Decreased heart rate.
Correct Answer: A
Rationale: Decreased girth indicates reduced edema.
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