A first-time mother calls the pediatrician’s office to ask the nurse about her baby’s tooth eruption. The baby is 8 months old and still does not have any teeth. What information can the nurse share with this mother that would correctly respond to her anxiety about her baby’s dentition?

Look for the baby to start running a fever and develop a stuffy nose and that will indicate his teeth are coming in.

If the baby does not have any teeth come in by next month, the mother needs to bring him back for x-rays.

Tooth eruption is often genetically based, with some families having babies with early tooth eruption, while others have late tooth eruption.

A baby’s first teeth should erupt by 8 to 10 months of age and are the two lower front teeth.

Answer and Explanation

The Correct Answer is C

Choice A reason: Fever and stuffy nose are not reliable indicators of teething and may signal illness. Genetic variation explains delayed eruption in an 8-month-old, making this misleading and incorrect for addressing the mother’s anxiety about her baby’s lack of teeth in the phone consultation.

Choice B reason: Requiring x-rays if no teeth erupt by 9 months is premature, as teeth can appear up to 12 months normally. Genetic factors reassure without unnecessary tests, making this alarmist and incorrect for responding to the mother’s dentition concerns about her 8-month-old baby.

Choice C reason: Tooth eruption varies genetically, with some babies teething later (up to 12 months) without issue. This explanation reassures the mother about her 8-month-old’s delayed dentition, aligning with pediatric dental norms, making it the correct information to alleviate her anxiety effectively.

Choice D reason: Stating teeth should erupt by 8-10 months is inaccurate, as normal eruption can occur up to 12 months. Genetic variability better addresses the mother’s concern, making this incorrect, as it risks heightening anxiety with a rigid timeline for the baby’s tooth eruption.

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Correct Answer is C

Explanation

Choice A reason: Play dates maintain social contact but disrupt the 3-year-old’s preschool routine, which provides stability. Continuing preschool supports normalcy and security, making this less effective and incorrect compared to maintaining the familiar structure of school for a child with leukemia.

Choice B reason: Keeping the child home for one-on-one time may isolate her, reducing social interaction critical for a 3-year-old’s security. Preschool attendance fosters normalcy, making this overly restrictive and incorrect compared to supporting the child’s routine and social needs during leukemia treatment.

Choice C reason: Continuing preschool as much as possible maintains routine and social connections, fostering security for a 3-year-old with leukemia. This aligns with pediatric psychosocial care for chronic illness, making it the correct recommendation to help the child feel secure during her treatment.

Choice D reason: Special family outings are bonding but disrupt the 3-year-old’s preschool routine, which provides consistent security. Continuing school is more stabilizing, making this less consistent and incorrect compared to maintaining the child’s normal preschool environment to support her sense of security.

A. Hemophilia. B. Congestive heart failure. C. Kawasaki disease. D. Rheumatic fever.

Correct Answer is C

Explanation

Choice A reason: Hemophilia causes bleeding issues, not a strawberry tongue, which is a mucosal symptom. Kawasaki disease’s characteristic tongue appearance matches the description, making this unrelated and incorrect compared to the specific disorder associated with the child’s reported tongue manifestation in the assessment.

Choice B reason: Congestive heart failure affects cardiac function, not oral mucosa, and doesn’t cause a strawberry tongue. Kawasaki disease is the condition linked to this symptom, making this irrelevant and incorrect for the nurse’s recognition of the child’s tongue appearance in data collection.

Choice C reason: A strawberry tongue, with a red, bumpy appearance, is a hallmark of Kawasaki disease, often seen with fever and rash. This aligns with pediatric infectious disease criteria, making it the correct disorder the nurse recognizes based on the caregiver’s description of the child’s tongue.

Choice D reason: Rheumatic fever may cause oral symptoms but not a classic strawberry tongue, which is specific to Kawasaki disease. The latter’s mucosal findings are distinctive, making this less accurate and incorrect compared to identifying Kawasaki disease as the cause of the tongue manifestation.

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A first-time mother calls the pediatrician’s office to ask the nurse about her baby’s tooth eruption. The baby is 8 months old and still does not have any teeth. What information can the nurse share with this mother that would correctly respond to her anxiety about her baby’s dentition?

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Naxlex Comprehensive Predictor Exams

A 3-year-old who has been attending preschool has been diagnosed with leukemia. The caregivers of this child ask the nurse what they can do to help their child feel secure. Which recommendation could the nurse make to these caregivers that would be helpful in making the child feel secure?

Correct Answer is C

Explanation

The nurse is collecting data from a caregiver, and the caregiver states that the child has had a “strawberry-colored tongue.” The nurse recognizes this as a manifestation of which disorder?

Correct Answer is C

Explanation

A group of nurses is reviewing the cardiovascular system and its function. Which statement by one of the nurses demonstrates an understanding of a child’s cardiovascular system?

The nurse instructor is reviewing the integumentary system during a presentation to a group of student nurses. Which statement made by the instructor is the most accurate regarding the integumentary system?

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The nurse is collecting data on a 4-month-old child brought to the clinic by the caregiver. The nurse observes the child’s mouth and notes a white coating that looks like milk curds. Which of the following questions would be most important for the nurse to ask the caregiver?