PREPU

A new mother asks the maternity nurse about sudden infant death syndrome (SIDS). The nurse tells the mother that SIDS most likely to occur at what age?

1 week to 1 year, peaking at 2 to 4 months Explanation: SIDS can occur anytime between ages 1 week and 1 year. The incidence peaks at ages 2 to 4 months.

A 17-year-old adolescent with acute lymphocytic leukemia is discharged with written information about chemotherapy administration and his outpatient appointment schedule. He now is in the maintenance phase of chemotherapy but has missed clinic appointments for blood work and admits to omitting some chemotherapy doses. To improve his compliance, the nurse should include which intervention in the care plan?

letting him participate

After the birth of her first neonate, a mother asks the nurse about the reddened areas at the nape of the neonate's neck (stork bites). How should the nurse respond?

"They're normal and will disappear as the baby's skin thickens."

The parents of three children ages 4, 7, and 11 years are interested in fostering spiritual development in their children. Then nurse informs the parents that the development of a child's spirituality is best accomplished by:

A: teaching through parental behaviors rationale a child's parents play a key role in the development of the child's spirituality. What is important is not so much what parents teach a child about God and religion, but rather what the child learned about God, life, and self from the parents behavior.

After instructing a mother about normal reflexes of term neonates, the nurse determines that the mother understands the instructions when she describes the tonic neck reflex as occurring when the neonate displays which behavior?

turns head to the left, extends left extremities, and flexes right exremities

A parent brings a 7-month-old infant to the well-baby clinic for a check-up. The parent feeds the infant formula whenever the infant is hungry but is concerned that the infant is overweight. What instructions should the nurse give the parents?

bring a 3 day record of the infants intake for further evaluation

The nurse judges that the mother has understood the teaching about care of an infant with colic when the nurse observes the mother doing which action?

Burping the infant during and after the feeding. Explanation: Infants with colic should be burped frequently during and after the feeding. Much of the discomfort of colic appears to be associated with the presence of air in the stomach and intestines. Frequent burping helps to relieve the air. Infants with colic should be held fairly upright while being fed, to help air rise. The preferred position for burping the infant with colic is to hold the infant at the mother's shoulder so that the infant's abdomen lies on the shoulder. This position causes more pressure to be exerted on the infant's abdomen, leading to a more forceful burp. The child should be placed in an infant seat after feedings.

A woman delivers a 3.250 g neonate at 42 weeks' gestation. Which physical finding is expected during an examination if this neonate?

D) Leathery, cracked, and wrinkled skin Rationale: Neonatal skin thickens with maturity and is often peeling by post term.

A primiparous client expresses concern, asking the nurse why her neonate's eyes are crossed. Which information would the nurse include when teaching the mother about neonatal strabismus?

Neonates commonly lack eye muscle coordination. Explanation: Convergent strabismus is common during infancy until about age 6 months because of poor oculomotor coordination. The neonate has peripheral vision and can fixate on close objects for short periods. The neonate can also perceive colors, shapes, and faces. Neonates can focus on light and should blink or close their eyes in response to light. However, this is not associated with strabismus. An absent red reflex or white areas over the pupils, not strabismus, may indicate congenital cataracts. Most neonates cannot focus well or accommodate for distance immediately after birth.

When preparing to obtain a neonatal screening test for phenylketonuria (PKU), the neonate must have received which of the following to ensure reliable results?

PKU is an autosomal recessive disorder involving the absence of an enzyme needed to metabolize the essential amino acid, phenylalanine, to tyrosine. To ensure reliable results, the neonate must have ingested sufficient protein, such as breast milk or formula, for at least 24 hours. Testing the infant before that time, excessive vomiting, or poor intake can yield false-negative results. The infant does not need to fast 4 hours before the test. A loading dose of glucose water does not affect test values

When developing the plan of care for a child diagnosed with phenylketonuria (PKU), the nurse should establish which of the following goals?

RATIONALE: The goal of care is to prevent mental retardation by adjusting the diet to meet the infant's nutritional needs for optimal growth. The diet needs to be started as soon as the infant is diagnosed, ideally within a few days of birth. Serum phenylalanine level should be maintained between 3 and 7 mg/100 mL. Significant brain damage usually occurs if the serum phenylalanine level exceeds 10 to 15 mg/100 mL. If the level drops below 2 mg/100 mL, the body begins to catabolize its protein stores, causing growth retardation.

A nurse is assessing the growth and development of a 10-year-old. What is the expected behavior of this child?

School-age children are concerned about justice and fair play.

A visiting nurse is teaching a client with heart failure about taking his medications. The client requires six different medications that are taken at four different times per day. The client is confused about when to take each medication. How should the nurse intervene?

Teach a family member to fill a medication compliance aid once per week so the client can independently take his medications.-rationale: the nurse should intervene by asking a family member to fill a compliance aid each week with the clients weekly supply of medications in the appropriate time slots. family members cant be expected to come to the clients house four times each day to administer medications. the physician shouldnt change the dosing regimen just for convenience. the home care nurse cant visit the client each morning to prepare the daily medication regimen.

Which statement summarizes the underlying principle for the development of a parent-child relationship?

The relationship is based on the need for early and frequent parent-infant contact

A 16-month-old child is seen in the clinic for a checkup for the first time. The nurse notices that the toddler limps when walking. Which would be appropriate to use when assessing this toddler for developmental dysplasia of the hip?

Trendelenburg's sign

When instructing a 4-year-old child about an upcoming procedure, the nurse's most important consideration is to:

Use simple terms

Which adolescent would the nurse determine needs further evaluation?

a young adolescent boy who restricts his food and fluid intake to be able to box in a lower weight class

On a home visit following discharge from the hospital after treatment for severe gastroenteritis, the parent tells the nurse that a toddler answers "No!" and is difficult to manage. After discussing this further with the parent, the nurse explains that the child's behavior is most likely the result of which factor?

expression of individuality

A nurse is caring for a 1-day postpartum mother who's very talkative but isn't confident in her decision-making skills. The nurse is aware that this is a normal phase for the mother. What is this phase called?

taking in phase