Non-Traditional Families
The nurse is teaching a group of novice nurses how to assess bowel sounds. Which statement will the nurse include in the education?
"You should auscultate all four quadrants for a full minute each."
Authoritarian Parenting
A parenting style in which the parents are demanding, expect unquestioned obedience, are not responsive to their children's desires, and communicate poorly with their children.
Toddlers: GU
Bladder and kidney reach adult function by 16 to 24 months. Bladder capacity increases, urethra short, muscles maturing. Swayback and pot belly until 3 years old.
Parents bring a toddler age 19 months to the clinic for a regular checkup. When palpating the toddler's fontanels (fontanelles), what should the nurse expect to find?
Closed anterior and posterior fontanels (fontanelles)
A prenatal nurse is preparing a presentation on the trends in childhood mortality rates in order to strategize for program funding. Which statements would the nurse likely include in the presentation? Select all that apply.
Disparities exist by gender, age, race, and ethnicity. Leading causes of childhood mortality include suicide. Unintentional injury remains a leading cause of mortality in children.
During a routine physical examination of a 13-year-old female the nurse notes the presence of a tender nodule just below the nipple on her right breast. Which action by the nurse is indicated?
Document the finding as normal. Adolescent females may have a tender nodule beneath the nipple. This signals the onset of puberty.
Factors Affecting Child Health: Global Society
Health Status and Lifestyle. Access to health care. Improvement diagnosis and treatments.
A nursing student is preparing a presentation illustrating the Human Genome Project. Which function will the student point out as being the primary focus?
Identification of human genes and functions.
The nurse is assessing a newborn. The child's mother asks about small pink area on the bridge of the child's nose. What would be the appropriate response by the nurse?
It's called a salmon nevi or a stork bite. They typically fade over time but may never go away totally.
Family Structure
Organization. Members gained or lost (death, divorce, remarriage, birth). Traditional nuclear family not dominant. Examples: Divorce, single parent families, blended, adopted, extended, same sex, and foster care.
Neglectful Uninvolved Parenting
Parents are indifferent toward their children and unaware of what is going on in their children's lives.
Toddlers: Nutrition
Picky eaters, food jags, physiologic anorexia. Own a spoon and fork, a secure chair. Give appropriate portion size, type, and texture. Family mealtimes, praise attempts at self feeding. Never leave the toddler unattended. Minimize distractions.
Factors Affecting Child Health: Family
Population, Community, Culture, and Society.
Toddlers: GI
Stomach increases. Small intestine grows longer. Decreased stools, color varies with diet. Bowel control by end of toddler period.
The United States lags behind other industrialized countries regarding infant mortality. The main factor that contributes to this is:
Two factors that contribute to the fact that the United States lags behind other industrialized countries are the large number of preterm births and the differences in reporting live births in various countries.
A 12-year-old client comes to the clinic for an annual checkup. The nurse needs to take a health history and perform a physical exam. Which method would be the most appropriate when obtaining the client's health history?
When obtaining the health history from a young adolescent, give him or her (aged 11 to 14 years) the choice of whether the parent is present during the interview and examination but always allow time to talk alone with the adolescent.
Parenting Styles
authoritative, authoritarian, permissive, uninvolved
A program designed to decrease the infant mortality rate in the United States would probably make the greatest impact if it focused on which aspect of care?
increasing the number of women receiving prenatal care. Receiving prenatal care has proven to be a major strategy for reducing infant mortality.
A client, 6 hours postpartum, has a severe postpartum hemorrhage that the health care providers are unable to control. She succumbed to the hemorrhage in the intensive care unit. The client's death would become part of the:
maternal mortality rate. The maternal mortality ratio is the annual number of deaths from any cause related to or aggravated by pregnancy or its management. Morbidity refers to diseases.
Authoritative Parenting
parents set limits and enforce rules but are flexible and listen to their children. Clear roles, explanations, and natural consequences.
Permissive Parenting
style of parenting in which parent makes few, if any demands on a child's behavior.
A nurse informs a 19-year-old client that she is pregnant. The client immediately states that she plans to have an abortion (elective termination of pregnancy). What would be the most appropriate response from the nurse to this client?
"I'll put together the information that you will need."
