A large portion of the nurse's efforts is dedicated to health supervision for children who use the facility as their primary medical contact. At which facility does the nurse work?

A pediatric practice

A dermatology practice

An urgent care center

A mobile outreach immunization program

Answer and Explanation

The Correct Answer is A

A.   Health supervision for children as their primary medical contact is a key function of a pediatric practice, where comprehensive healthcare services for children are provided.
B.   Dermatology practices focus on skin-related issues rather than comprehensive healthcare for children.
C.   Urgent care centers primarily handle acute medical issues on a walk-in basis rather than serving as a primary medical contact.
D.   Mobile outreach immunization programs focus specifically on immunization services rather than comprehensive healthcare for children.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. At 9 months of age, babies are able to crawl and explore their environment. They may pick up and put anything in their mouth, which can cause choking or poisoning. Therefore, the nurse should warn the mother about keeping the floor clear of small objects, such as coins, buttons, beads, or toys with detachable parts.
B. Safety procedures during baths are crucial, but this topic may have been covered in earlier visits or could be discussed alongside creating a toddler-safe home.
C. This more relevant for older babies or toddlers who can stand, walk, or climb.
D. Cautioning about putting the baby in a walker is important, but it may not be the most immediate concern at 9 months, as many babies start using walkers around 6-9 months. Creating a safe home environment encompasses a broader range of potential hazards.

A. Conduction heat loss is a problem in the baby. B. Axillary temperatures are not accurate. C. This is a normal temperature. D. The supply of brown adipose tissue is not developed.

Correct Answer is D

Explanation

A. Conduction heat loss typically occurs through direct contact with a cooler surface, but in this scenario, the baby is under a radiant warmer, reducing the likelihood of conduction heat loss.
B. Axillary temperatures are generally accurate for newborns when measured properly.
C. A normal temperature for a neonate is between 97 and 99 degrees F (36 to 37 degrees C).
D. Brown adipose tissue is a specialized type of fat that generates heat by metabolizing fatty acids. It is abundant in full-term neonates, but scarce in preterm neonates, especially those born before 34 weeks' gestation. Therefore, preterm neonates have less ability to maintain their body temperature and are prone to hypothermia.

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A large portion of the nurse's efforts is dedicated to health supervision for children who use the facility as their primary medical contact. At which facility does the nurse work?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

Correct Answer is A

Explanation

A one-day-old neonate born at 32 weeks' gestation is in the neonatal intensive care unit under a radiant overhead warmer. The nurse assesses the morning axilla temperature as 95 degrees F (35 degrees C). What could explain the assessment finding?

Correct Answer is D

Explanation

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