A mother calls the hospital nursing hotline and asks, “My 8-week-old daughter cries 8 hours a day, and she is hard to console. Is that normal?” What should the nurse’s response be to this mother?

This is normal for an 8-week-old and will resolve with time

This could indicate colic, and you should consult your pediatrician

This is likely due to inadequate feeding; increase her formula intake

This may be a sign of a serious illness; bring her to the emergency room

Answer and Explanation

The Correct Answer is B

Choice A reason: Excessive crying for 8 hours daily in an 8-week-old is not typical and may indicate colic or other issues. While some crying is normal, this duration suggests a need for evaluation, as conditions like colic or gastrointestinal discomfort require assessment, making this response incorrect.

Choice B reason: Prolonged, inconsolable crying for 8 hours daily in an 8-week-old is characteristic of colic, defined as crying for more than 3 hours daily, 3 days weekly, for 3 weeks. Consulting a pediatrician ensures proper evaluation for colic or other causes, making this the appropriate nurse response.

Choice C reason: Inadequate feeding may cause crying, but assuming this without assessment is inappropriate. Excessive crying is more likely due to colic or other issues like reflux or allergies. Increasing formula without evaluation risks overfeeding or missing underlying conditions, making this an incorrect response.

Choice D reason: While serious illness is possible, excessive crying in an 8-week-old is more commonly due to colic or benign causes. Immediate emergency room referral without assessing other symptoms (e.g., fever, lethargy) is overly alarming and not the first step, making this response less appropriate than pediatric consultation.

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Correct Answer is B

Explanation

Choice A reason: Potty training can lead to constipation in young children, as they may not understand or respond to defecation urges, leading to stool withholding. This causes harder stools and discomfort, increasing constipation risk, making this a valid reason for the condition in this age group.

Choice B reason: Bubble baths do not cause rectal inflammation or constipation. They may irritate the urethra, increasing urinary tract infection risk, but have no direct effect on bowel function. Constipation in children is related to diet, behavior, or developmental factors, making this an incorrect reason.

Choice C reason: Picky eating in young children often leads to low fiber intake, which slows intestinal transit and causes harder stools, increasing constipation risk. Fiber promotes bowel regularity, and its deficiency is a common cause of constipation in this age group, making this a valid reason.

Choice D reason: Young children often ignore defecation cues while playing, leading to stool withholding. This behavior causes stool to become harder and more difficult to pass, contributing to constipation. Developmental tendencies to prioritize play over toileting make this a common reason for constipation in children.

A. The child is currently taking antibiotics for otitis media B. The child has a congenital immunodeficiency C. The child has a cough and a temperature of 37.7°C (99.9°F) D. The child’s temperature after the last set of immunizations was 38.3°C (101°F)

Correct Answer is B

Explanation

Choice A reason: Antibiotics for otitis media do not contraindicate MMR vaccination, as antibiotics treat bacterial infections and do not interfere with the immune response to this live attenuated vaccine. The MMR can be safely administered in children with mild bacterial infections, making this an incorrect contraindication.

Choice B reason: Congenital immunodeficiency (e.g., severe combined immunodeficiency) is a contraindication for MMR, a live attenuated vaccine. Such conditions impair the immune system’s ability to control the attenuated virus, risking severe infection. Avoiding MMR in these children prevents life-threatening complications, making this the correct contraindication for the vaccine.

Choice C reason: A mild cough and temperature of 37.7°C (99.9°F) indicate a minor illness, which is not a contraindication for MMR vaccination. Live vaccines like MMR can be safely given during mild infections, as they do not significantly impair the immune response, making this an incorrect choice.

Choice D reason: A fever of 38.3°C (101°F) after previous immunizations is a common, transient reaction and not a contraindication for MMR. It does not indicate an immune deficiency or hypersensitivity that would prevent future vaccinations, making this an incorrect choice for withholding the MMR vaccine.

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A mother calls the hospital nursing hotline and asks, “My 8-week-old daughter cries 8 hours a day, and she is hard to console. Is that normal?” What should the nurse’s response be to this mother?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is not a reason young children are more prone to constipation?

Correct Answer is B

Explanation

A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to a 15-month-old toddler. Which of the following findings is a contraindication for this immunization?

Correct Answer is B

Explanation

The nurse is interviewing a 3-year-old girl who tells the nurse: “Want go potty.” The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse’s appropriate response to this concern?

Which of the following are common signs and symptoms of depression in children and adolescents? (Select all that apply)

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