peds EAQ
Which behavior would the nurse expect when observing a 5-month-old infant? 1 Picking up a toy and putting it in the mouth 2 Waving the fists and dropping toys placed in the hands 3 Exploratory searching when an object is hidden from view 4 Simultaneously kicking the legs and batting the hands in the air
1 picking up a toy and putting it in the mouth During the oral stage, infants tend to complete the exploration of an object by putting it into the mouth. Waving the fists and dropping toys placed in the hands is the momentary grasp reflex, seen in neonates before the development of eye-hand-mouth coordination. Infants 9 to 10 months old play search for an object that is hidden from view as they learn that objects continue to exist even though they are not visible. Kicking and batting the hands are the random reflexive movements of 1- to 2-month-old infants, whose voluntary control of distal extremities is not developed.
The nurse is caring for an adolescent who is pregnant and reports a past history of gonorrhea. Which intervention will the nurse perform before delivery to decrease perinatal exposure? Select all that apply. One, some, or all responses may be correct. 1 screen at 36 weeks 2 plan to use standard precautions 3 administer IM cefriaxone 4 recommend bottle feeding after birth 5 report any greenish-yellowish purulent discharge
1 screen at 36 weeks gestation 3 administer intramuscular ceftriaxone To decrease risk of perinatal exposure, the nurse will screen clients for gonorrhea at 36 weeks' gestation to determine the presence of infection. The nurse also will administer intramuscular ceftriaxone to treat the infection. Standard precautions protect the nurse, not the newborn. The infection is passed vaginally; clients with gonorrhea do not need to avoid breast-feeding. Female clients frequently do not display symptoms, but the presence of purulent discharge indicates infection, which could be transmissible.
During a physical examination, the nurse finds that a 3-year-old child has markedly fewer teeth than expected for that age. Which foods would be included in the child's diet to promote tooth formation? Select all that apply. One, some, or all responses may be correct. 1 Boiled egg 2 Skim milk 3 Tomatoes 4 Kale 5 Apples
2 skim milk 4 kale The presence of fewer teeth than expected in a 3-year-old child indicates a calcium deficiency. Milk and kale are known to be rich sources of biologically available calcium. A boiled egg is rich in protein and will help build muscle mass but will not provide calcium unless the toddler eats the egg shell. Tomatoes and apples are not good sources of calcium, although they are good sources of vitamins and minerals to improve immunity.
While assessing the development of a child, the nurse finds that the child is imitating the actions of her elders. Which stage would the nurse expect to document that the child is in? 1 Initiative versus guilt 2 Industry versus inferiority 3 Identity versus role confusion 4 Autonomy versus shame and doubt
4: autonomy versus shame and doubt According to Erickson's developmental theory, a child who is 1 to 3 years old is in the autonomy versus shame and doubt stage. The child will have control over his or her body and environment. The child starts imitating elders in an attempt to learn and do things for himself or herself. A 3- to 6-year-old child is in the initiative versus guilt stage according to Erickson's theory of development. The child who is in the initiative versus guilt stage will try to explore things with all the senses. A 6- to 12-year-old child is in the industry versus inferiority stage according to Erickson's theory of development. Industry versus inferiority is a higher stage of development in which the child will perform tasks to attain real achievements and not as mere imitation. A child who is 12 to 18 years old is in the identity versus role confusion stage of Erickson's developmental theory. In this stage, the child becomes preoccupied with personal appearance. https://lo-eaq-prod-files.s3.amazonaws.com/10024672/8/c/2/593045a592c21af61d0187d8e59d5?response-cache-control=private%2C%20max-age%3D60&response-content-disposition=inline%3B%20filename%3D%22Potter_Box_34-1.png%22&response-content-type=image%2Fpng&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEOz%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJIMEYCIQDNInM4d%2B4gz1KMtX%2FKLmNdsGYFT6wO9capruP7qYQ1VQIhAO9ok17QeBfb8pau0o91Z3H4E3MDS5XriPRgkq%2BMxVMKKoMECLX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEQABoMNDE3MTE5ODAzMTY5IgyGD9BpCwDcDM%2B94f8q1wNLt3L%2BBQdJxV4CdQH%2F6bYOA%2B4ZHz%2BuQESTDLv%2BSLGsDODch6gOy5cLPdLN7b0LI5YLkDiWerNqsOkWpfgLzcIxB%2Foq3S6aNhH1Pu80xtNF%2Bmb9xDASyIAk1SAwGQWYp3OXY3v95zOQ1H1JID0KQhAT3e2B2%2Faj8PTSXdVT16zgdCixKYerBsnIFGStOK4RdT%2BzfkwRuqRKpKGIMBYem1J7Wup%2BpMu9DmyTzsYQWy7gzcEYlyW%2FTi4GDE3ARv1dO%2FWAFawtnrmKlFOYJYQian4ixkVvmbXbjazPQe04Dv57igaRHIrTpA3PRf2OpAhyBbtjNbnFvJ88JwCnuIjws8rpdf93S%2FcTHgV3RHdxgOhRQismsHJGWkOw1Z3fZol3f1aNuKTV8yh9%2BDYNUvtTbbrIAOUMY4fIjHdL41k3UI68aec2wWzUml6Qctv%2BYTJervHi%2FzwY1%2BoCJB4l5vLPtNuGaf2zL1fMUBYlrJRfB1y6tFny%2B5WcuO4TY5oNIWlexG9VBS4wkpge72TJ5OCzZJpiIkrtFwb2%2BP0xF2SRoXUhLVUy%2BJCd%2BhlXt51yZrIbg3y5Uu1scOevxMdKquXIPPy8zqyjSWVLJcLpNVA8%2FEjBgKupFxf8ipUwwe%2BLjQY6pAHn1JTsvXJHWMFlyws8UBGffw2yeiyL64LYnYp7u0P6KR6QAxdfUdNEkTmxw74HtVKVM9sVYdaovTU39zrcywTLewL6vqSmX3O6YDt42pP3llq%2BC69fGV8b8b5UXODesZw6ynQ5yov%2BBYuVSGuvNtqSdGNYNbb%2B6vBOsR7OBI78eC4n6kY27lIS5Wp%2FroIPbrzMzEj7aMyNjj4K8BFqq2djON3Qww%3D%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20211128T035819Z&X-Amz-SignedHeaders=host&X-Amz-Expires=60&X-Amz-Credential=ASIAWCHSHC4QYWZENQ6G%2F20211128%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=694e0e6f1951e2afe963a5814ecda347dc4808038d56e1b07141784315af7078
The nurse finds that a 2-year-old child has impaired fine motor skills. The nurse recommends toys that will be beneficial for the child. Which statement by the child's parents needs correction? - i should provide muscial toys - i should provide straddle trucks - i should provide battery operated cars - i should provide thick crayons and finger paints
I should provide battery-opperated cars Passive toys such as battery-operated cars should not be provided because they do not stimulate musculoskeletal development. Musical toys can improve coordination. Straddle trucks improve locomotive skills. Thick crayons and finger paints improve fine motor skills.
Which would the nurse consider when caring for a family with three school-aged children as the unit of service? 1 Certain members of the family may be capable of giving more support than the nurse. 2 Assessing each family member is not necessary to plan care for the family as a whole. 3 Family values are not as important as other factors regarding how assistance is perceived. 4 Helping the family requires separating health problems from other aspects of the family's life.
certain members of the family may be capable of giving more support than the nurse Family strengths must be identified and used by the nurse. It is necessary to assess each family member to plan care for the whole family. Family values, beliefs, and attitudes greatly influence perceptions. The family members and their problems must be viewed as an integrated whole.
which information would the nurse include in the socialization and congnition teaching session with the parents of a 15-month-old - engaging in parallel play - limitation of parental activities - an elevated fear of strangers - toleration of long periods of parental separation
limitation of parental activities the 15-month-old toddler will imitate parental activities such as cleaning house or sweeping floors, therefore this is an appropriate topic for the nurse to include in the teaching session. engagement in parallel play does not occur until approximately 24 months of age. the 15-month-old toddler will have a decreased, not elevated, fear of strangers. the 15-month-old toddler tolerates some, but not long, peridos of parental separation
The parent of a 7-month-old boy states, "You know, my son doesn't sit up by himself yet. Shouldn't he be able to do this by now?" How would the nurse respond? 1 "He may need a little encouragement." 2 "Most babies do sit up by this time." 3 "Don't worry that he's not sitting up yet." Correct4 4 "Many babies don't sit up until they're 8 months old.
many babies don't sit up until they're 8 months old Most infants by 6 months of age can remain in the sitting position when placed there; however, they do not sit up by themselves until 8 months. This response involves the parent in the assessment of the infant's capabilities. Stating that the child may just need encouragement questions the parent's ability to assist the child and demeans the infant. Indicating that most babies are sitting up by this age is erroneous; many healthy infants do not sit steadily without support until 8 months of age. Telling the parent not to worry cuts off communication and offers no directions to the parent, who obviously is worried.
Which controls the respiratory patterns of a child? - medulla - cerebellum - hypothalamus - cerebral cortex
medulla The medulla oblongata contains the respiratory center, and the neurons that supply the respiratory muscles originate here; they produce the rhythmic pattern of inspiration and expiration. The cerebellum helps control skeletal muscles. The hypothalamus links the nervous system to the endocrine system and functions as a relay station between the cerebral cortex and lower autonomic centers. The cerebral cortex is unrelated to respirations. The cerebral cortex is the thin layer of gray matter on the surface of the cerebrum that integrates higher mental functions.
which stage of Kohlberg's theory explains the influence of moral values on an individual's thought? - good boy nice girl orientation - society-maintaining orientation - instrumental relativist orientation - universal ethical principle orientation
society-maintaining orientation During the society-maintaining orientation stage, an individual expands focus from a relationship with others to societal concerns. These individuals may be influenced by moral values. During the good boy-nice girl orientation stage, an individual wants to win the approval of and maintain the expectations of one's immediate group. When a child wants to be on time for dinner, this action explains the instrumental relativist orientation stage. The universal ethical principle orientation stage defines "right" in accordance with self-chosen ethical principles.
which age group would the nurse observe engaging in parallel play - infants - toddlers - adolescents - preschoolers
toddlers Parallel play is common among toddlers. In this form of play, each child engages in an independent activity that is similar to, but not influenced by or shared with, others. Infants do not perform parallel play. Adolescents spend time with multiple friends at once. Preschoolers are able to play with one other child in a cooperative manner in which they make something or play designated roles. https://lo-eaq-prod-files.s3.amazonaws.com/10024672/7/e/e/2caa1832e2ada526a7cfa313f13b0?response-cache-control=private%2C%20max-age%3D60&response-content-disposition=inline%3B%20filename%3D%22Hockenberry_Table_12-1.png%22&response-content-type=image%2Fpng&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEOv%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIQDErlJcpsGtqdIBZjK58BAyeTx6lYdiq1J%2BTq%2BFr45JhAIgCNaH5Ag9TkFJgW21JUC5CFuc7qbL%2BaX7z1TXCI1upYUqgwQItP%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAAGgw0MTcxMTk4MDMxNjkiDIkvXJs2YlJTSVwh9yrXA7RAy4dW%2BOcNRnmSEvMB6Aa5HIN1p6p28KF7tCN7ME%2Fw%2BL42tkM01QMQaQ6PvO%2FGXhIOL6xGfIASJ53g%2FMqHLHG7tzWeUgAR8yJi1vHEuLyb%2FQoDfW2bbxu41HY64UTWMZtk1gtKjNyQjIYXcXWgPauYER9Mk7NLARdd1PyUJR8a6HXCKrg0OtOQx%2ByULz1xDAnRRJweGgFU%2FNCtUrq%2BKQ1hAJVsetRSSDHrJMdhobG4MgquumMoJlx8uGQD5uGAQH4hDiW7kqCUs1zRS9GXkgR70maJM8OunX1ptsLFcLv%2B8sXiUBQrOGCx7ZY3s9kd7Zm1LogTohntwFa%2F4POTprVam0VeW3lSJ3wJCu1kp4QimfVfgEboLXddBjYoNW3Ht2V%2FT5qHHG5FbGy00m%2BghCyFYjCuQBOluqLfAvisX6RZzFSmrO%2F5%2F%2Fu8JwVQnimgfQl2xID%2B6jOFWT%2FMTka2d%2Br4Xk6fBBfFd5XR7ualdJ61Wcz7IKR9lf4nMQd1lnFFdtypCapLDjZxVOIJSqEKdxeLgcmqFDas1UR7rei%2FMc5k9%2BViX8k1TGB%2BFJ24%2FyJUtIODnyjNSt2JfHquQ8NSqj0Rdob8QUgZfCGHMVU0xHWj7vafnJr9gjDa1IuNBjqlAdaTiJ64H9eF0T6VLjD2o8kYmu5LaMPV34OvYyohwp0QSo9ExcAZoEXhKSN%2Fp9%2FDIt8R8DL71B0EnngHHSknYDvx5ALftwPvGuXq9oaK9IR38o1HpunbHyYhi50JQPzqn2zv9N%2B6p1LYTuRc6ZOUUwYqRaTF8mDKdLiy19sEWRT8LWaVEQeIrGZGrEmdGOW4hvydEkAuHtUbTLjX8RjZR6RzSohQfQ%3D%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20211128T023313Z&X-Amz-SignedHeaders=host&X-Amz-Expires=60&X-Amz-Credential=ASIAWCHSHC4Q3L3CF5PA%2F20211128%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=854876b5d1d9a4f4ecc0b1c9e9f0c29e40582b6af1e3abb0d7c414350f84341e
a nursing instructor asks a student to outline the factors that predispose adolescents to substance use. which of these statements are correct? select all that apply - substance use makes them more mature - substance use will improve appetite and sleep disturbances - using mood-altering substances creates a sense of well-being - substances will help them cope with worsening performance in school - susbtance use will help them achieve increased levels of performance
- substance use makes them more mature - using mood-altering substances creates a sense of well-being - substance use will help them achieve increased levels of performance Some adolescents believe that substance abuse makes them more mature. Adolescents often believe that the use of mood-altering substances creates a sense of well-being. Adolescents also believe that substance use will result in an increased level of performance. Hence, all these statements outlined by the student are correct. Appetite and sleep disturbances and a decrease in school performance are warning signs of suicide among adolescents. https://lo-eaq-prod-files.s3.amazonaws.com/10024672/c/b/9/603f6bb52e474fa53a0754fb9329c?response-cache-control=private%2C%20max-age%3D60&response-content-disposition=inline%3B%20filename%3D%22Hockenberry_Table_2-2.png%22&response-content-type=image%2Fpng&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEOz%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJIMEYCIQDNInM4d%2B4gz1KMtX%2FKLmNdsGYFT6wO9capruP7qYQ1VQIhAO9ok17QeBfb8pau0o91Z3H4E3MDS5XriPRgkq%2BMxVMKKoMECLX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEQABoMNDE3MTE5ODAzMTY5IgyGD9BpCwDcDM%2B94f8q1wNLt3L%2BBQdJxV4CdQH%2F6bYOA%2B4ZHz%2BuQESTDLv%2BSLGsDODch6gOy5cLPdLN7b0LI5YLkDiWerNqsOkWpfgLzcIxB%2Foq3S6aNhH1Pu80xtNF%2Bmb9xDASyIAk1SAwGQWYp3OXY3v95zOQ1H1JID0KQhAT3e2B2%2Faj8PTSXdVT16zgdCixKYerBsnIFGStOK4RdT%2BzfkwRuqRKpKGIMBYem1J7Wup%2BpMu9DmyTzsYQWy7gzcEYlyW%2FTi4GDE3ARv1dO%2FWAFawtnrmKlFOYJYQian4ixkVvmbXbjazPQe04Dv57igaRHIrTpA3PRf2OpAhyBbtjNbnFvJ88JwCnuIjws8rpdf93S%2FcTHgV3RHdxgOhRQismsHJGWkOw1Z3fZol3f1aNuKTV8yh9%2BDYNUvtTbbrIAOUMY4fIjHdL41k3UI68aec2wWzUml6Qctv%2BYTJervHi%2FzwY1%2BoCJB4l5vLPtNuGaf2zL1fMUBYlrJRfB1y6tFny%2B5WcuO4TY5oNIWlexG9VBS4wkpge72TJ5OCzZJpiIkrtFwb2%2BP0xF2SRoXUhLVUy%2BJCd%2BhlXt51yZrIbg3y5Uu1scOevxMdKquXIPPy8zqyjSWVLJcLpNVA8%2FEjBgKupFxf8ipUwwe%2BLjQY6pAHn1JTsvXJHWMFlyws8UBGffw2yeiyL64LYnYp7u0P6KR6QAxdfUdNEkTmxw74HtVKVM9sVYdaovTU39zrcywTLewL6vqSmX3O6YDt42pP3llq%2BC69fGV8b8b5UXODesZw6ynQ5yov%2BBYuVSGuvNtqSdGNYNbb%2B6vBOsR7OBI78eC4n6kY27lIS5Wp%2FroIPbrzMzEj7aMyNjj4K8BFqq2djON3Qww%3D%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20211128T034448Z&X-Amz-SignedHeaders=host&X-Amz-Expires=60&X-Amz-Credential=ASIAWCHSHC4QYWZENQ6G%2F20211128%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=c9039cf4acfa486678459fe703f08746b18734ee4639146ecb685e5f5cd70f31
Which management strategy is the treatment of choice for hypertrophic pyloric stenosis (HPS)? 1 Surgery 2 Daily medication during infancy 3 Slow feeding for several months 4 Dietary restrictions throughout childhood
1 surgery Surgery is the treatment of choice for HPS. After surgery the infant usually has a rapid recovery with an excellent prognosis. Medications are not effective in treating HPS, as only surgery can correct a structural defect in which hypertrophy of the circular muscle of the pylorus causes obstruction at the pyloric sphincter. Slow feeding will not improve feeding intolerance related to the HPS structural defect, but infants will typically tolerate regular feedings within 24 hours of surgery. Dietary restrictions will not improve feeding intolerance; after surgery, a special diet is not required once fluids are tolerated.
The nurse is conducting a growth and development assessment and must calculate the body mass index (BMI) of a pediatric client. The child's weight is 33 pounds and 4 ounces. The child's height is 37 and 5/8 inches tall. Calculate the child's BMI. Record your answer to the nearest tenth. _______
16.5 [(33.25 lb ÷ 37.625 inch) ÷ 37.625 inch] × 703 = 16.5
Which play activity would the nurse encourage for a preschooler whose hand is immobilized with a peripheral intravenous (IV) line? 1 Watching television 2 Reading a comic book 3 Cutting out paper dolls 4 Manipulating jigsaw puzzles
4 manipulating jigsaw pieces Manipulating jigsaw pieces is intellectually stimulating and can be done with an IV line in place. Watching television is a passive activity that is not especially stimulating for a preschooler. The preschool-age child is not old enough to read comic books. Both hands are needed to hold and cut paper.
who would the nurse include when providing education to the parents of a 7 year old client related to moral development - the school age child - the chool age child's peers - any higher power the child believes in - any adult with authority over the child
any adult with authority over the child When a school-age child and an adult differ in judging an act, the adult is right. The school-age child, the child's peers, and a higher power that the child believes in are not authorities to moral development of the school-age client.
which source of stress would the nurse anticipate in a 4-year-old child - attention - confusion - stranger anxiety - separation anxiety
attention Attention is a particular source of stress in 4-year-olds. A child in this age group likes to talk and is frustrated if ignored or put off. Confusion and stranger anxiety are sources of stress in 3-year-olds. Separation anxiety is a source of stress to 3-year-olds and 5-year-olds as well. https://lo-eaq-prod-files.s3.amazonaws.com/10024672/8/6/d/9a8c6ab4285cb9b9c408233af5445?response-cache-control=private%2C%20max-age%3D60&response-content-disposition=inline%3B%20filename%3D%22Hockenberry_Box_13.2.png%22&response-content-type=image%2Fpng&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEOv%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIQDErlJcpsGtqdIBZjK58BAyeTx6lYdiq1J%2BTq%2BFr45JhAIgCNaH5Ag9TkFJgW21JUC5CFuc7qbL%2BaX7z1TXCI1upYUqgwQItP%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAAGgw0MTcxMTk4MDMxNjkiDIkvXJs2YlJTSVwh9yrXA7RAy4dW%2BOcNRnmSEvMB6Aa5HIN1p6p28KF7tCN7ME%2Fw%2BL42tkM01QMQaQ6PvO%2FGXhIOL6xGfIASJ53g%2FMqHLHG7tzWeUgAR8yJi1vHEuLyb%2FQoDfW2bbxu41HY64UTWMZtk1gtKjNyQjIYXcXWgPauYER9Mk7NLARdd1PyUJR8a6HXCKrg0OtOQx%2ByULz1xDAnRRJweGgFU%2FNCtUrq%2BKQ1hAJVsetRSSDHrJMdhobG4MgquumMoJlx8uGQD5uGAQH4hDiW7kqCUs1zRS9GXkgR70maJM8OunX1ptsLFcLv%2B8sXiUBQrOGCx7ZY3s9kd7Zm1LogTohntwFa%2F4POTprVam0VeW3lSJ3wJCu1kp4QimfVfgEboLXddBjYoNW3Ht2V%2FT5qHHG5FbGy00m%2BghCyFYjCuQBOluqLfAvisX6RZzFSmrO%2F5%2F%2Fu8JwVQnimgfQl2xID%2B6jOFWT%2FMTka2d%2Br4Xk6fBBfFd5XR7ualdJ61Wcz7IKR9lf4nMQd1lnFFdtypCapLDjZxVOIJSqEKdxeLgcmqFDas1UR7rei%2FMc5k9%2BViX8k1TGB%2BFJ24%2FyJUtIODnyjNSt2JfHquQ8NSqj0Rdob8QUgZfCGHMVU0xHWj7vafnJr9gjDa1IuNBjqlAdaTiJ64H9eF0T6VLjD2o8kYmu5LaMPV34OvYyohwp0QSo9ExcAZoEXhKSN%2Fp9%2FDIt8R8DL71B0EnngHHSknYDvx5ALftwPvGuXq9oaK9IR38o1HpunbHyYhi50JQPzqn2zv9N%2B6p1LYTuRc6ZOUUwYqRaTF8mDKdLiy19sEWRT8LWaVEQeIrGZGrEmdGOW4hvydEkAuHtUbTLjX8RjZR6RzSohQfQ%3D%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20211128T032147Z&X-Amz-SignedHeaders=host&X-Amz-Expires=60&X-Amz-Credential=ASIAWCHSHC4Q3L3CF5PA%2F20211128%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=89d45f0d40e37ad39973d1a5cbc3d6793b43978a8e05c33abf632ec107e6f724
Which clinical manifestation would the nurse recognize as common in tetralogy of Fallot? - slow respirations - clubbing of fingers - decreased red cell counts - subcutaneous hemorrhages
clubbing of fingers Hypoxia leads to poor peripheral oxygenation of tissues; clubbing develops over time as a result of tissue hypertrophy and additional capillary development in the fingers. Respiration is generally rapid to compensate for oxygen deprivation. Affected children have polycythemia with increased red cell counts. Subcutaneous hemorrhages do not occur in children with tetralogy of Fallot.
A 3-month-old infant with tetralogy of Fallot suddenly becomes cyanotic and begins breathing rapidly. In which position would the nurse immediately place the infant? - supine - lateral - knee-chest - semi-fowler
knee-chest The infant is experiencing a hypercyanotic ("tet" spell) episode caused by a sudden decrease in pulmonary blood flow and an increase in right-to-left shunting. It usually occurs after increased activity. The knee-chest position decreases venous return from the legs, which increases systemic vascular resistance, thereby increasing pulmonary blood flow. The supine and lateral positions increase venous return, which exacerbates the problem. Although the semi-Fowler position is recommended for infants with cardiac disease, it is not adequate for an infant experiencing a tet spell. https://lo-eaq-prod-files.s3.amazonaws.com/10024672/4/3/d/20dde359da5763b35f79693d92e05?response-cache-control=private%2C%20max-age%3D60&response-content-disposition=inline%3B%20filename%3D%22Hockenberry_Unn_Box_p978.png%22&response-content-type=image%2Fpng&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEOv%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIQDErlJcpsGtqdIBZjK58BAyeTx6lYdiq1J%2BTq%2BFr45JhAIgCNaH5Ag9TkFJgW21JUC5CFuc7qbL%2BaX7z1TXCI1upYUqgwQItP%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAAGgw0MTcxMTk4MDMxNjkiDIkvXJs2YlJTSVwh9yrXA7RAy4dW%2BOcNRnmSEvMB6Aa5HIN1p6p28KF7tCN7ME%2Fw%2BL42tkM01QMQaQ6PvO%2FGXhIOL6xGfIASJ53g%2FMqHLHG7tzWeUgAR8yJi1vHEuLyb%2FQoDfW2bbxu41HY64UTWMZtk1gtKjNyQjIYXcXWgPauYER9Mk7NLARdd1PyUJR8a6HXCKrg0OtOQx%2ByULz1xDAnRRJweGgFU%2FNCtUrq%2BKQ1hAJVsetRSSDHrJMdhobG4MgquumMoJlx8uGQD5uGAQH4hDiW7kqCUs1zRS9GXkgR70maJM8OunX1ptsLFcLv%2B8sXiUBQrOGCx7ZY3s9kd7Zm1LogTohntwFa%2F4POTprVam0VeW3lSJ3wJCu1kp4QimfVfgEboLXddBjYoNW3Ht2V%2FT5qHHG5FbGy00m%2BghCyFYjCuQBOluqLfAvisX6RZzFSmrO%2F5%2F%2Fu8JwVQnimgfQl2xID%2B6jOFWT%2FMTka2d%2Br4Xk6fBBfFd5XR7ualdJ61Wcz7IKR9lf4nMQd1lnFFdtypCapLDjZxVOIJSqEKdxeLgcmqFDas1UR7rei%2FMc5k9%2BViX8k1TGB%2BFJ24%2FyJUtIODnyjNSt2JfHquQ8NSqj0Rdob8QUgZfCGHMVU0xHWj7vafnJr9gjDa1IuNBjqlAdaTiJ64H9eF0T6VLjD2o8kYmu5LaMPV34OvYyohwp0QSo9ExcAZoEXhKSN%2Fp9%2FDIt8R8DL71B0EnngHHSknYDvx5ALftwPvGuXq9oaK9IR38o1HpunbHyYhi50JQPzqn2zv9N%2B6p1LYTuRc6ZOUUwYqRaTF8mDKdLiy19sEWRT8LWaVEQeIrGZGrEmdGOW4hvydEkAuHtUbTLjX8RjZR6RzSohQfQ%3D%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20211128T024020Z&X-Amz-SignedHeaders=host&X-Amz-Expires=60&X-Amz-Credential=ASIAWCHSHC4Q3L3CF5PA%2F20211128%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=d555a4bfb779135627acd70fc5b8fb595fc4bd50b34ab7c235a0a960d493207a
Which period of Piaget's theory explains self-consciousness in an adolescent? 1 Period I 2 Period II 3 Period III 4 Period IV
period IV In period IV of Piaget's theory, an adolescent demonstrates feelings and behaviors characterized by self-consciousness. During period I, an infant develops a schema or action pattern for dealing with the environment. During period II, the child demonstrates animism, in which he or she personifies objects. While going through period III, the child thinks about an action that earlier was performed physically.
Which feature of a child's outfit would the nurse recognize as the most important to address with the parents? - metal bells are laced into the shoestrings - overly long pant legs are folded up to form cuffs - the child's name is embroidered on a jacket pocket - a safety pin holds the shirt together where a button is missing
the child's name is embroidered on a jacket pocket Clothes and accessories should not be personalized; child predators may use a child's name to build trust and trick the child into assuming familiarity with the stranger. Metal bells are not broken as easily as plastic ones are, posing a lower risk than the personalized outfit. Although long cuffs pose a tripping hazard, the risk is far lower than the personalized outfit. Safety pins are unlikely to create problems for a child of preschool age who is capable of understanding the importance of leaving them alone. A stick from a safety pin is harmful but not as dangerous as a child predator.