A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse's best response to this observation?
"This is normal behavior for infants unless the stool passed is black or green."
"This is normal behavior for infants due to the immaturity of the gastrointestinal system."
"This is normal behavior for infants unless the stool passed is hard and dry."
"This indicates a blockage in the intestine and must be reported to the health care provider."
The Correct Answer is B
A. "This is normal behavior for infants unless the stool passed is black or green.": While black or green stools may indicate potential issues, grunting and crying during bowel movements are common behaviors in infants and are not necessarily indicative of a problem.
B. "This is normal behavior for infants due to the immaturity of the gastrointestinal system.": Grunting and crying during bowel movements are typical behaviors in infants, especially during the first few months of life. This is because the infant's gastrointestinal system is still developing and they may have difficulty coordinating their muscles to pass stool smoothly.
C. "This is normal behavior for infants unless the stool passed is hard and dry.": While hard and dry stools may indicate constipation, grunting and crying during bowel movements can still be normal behaviors in infants, regardless of the consistency of the stool.
D. "This indicates a blockage in the intestine and must be reported to the health care provider.": Grunting and crying during bowel movements are not necessarily indicative of a blockage in the intestine. These behaviors are common in infants and usually resolve as the infant's gastrointestinal system matures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Spirituality: While spirituality can be important to some individuals, it is not universally the most crucial factor in adolescent self-esteem.
B. Strong authority figures: While supportive relationships with authority figures can contribute to self-esteem, they are not always the primary factor in shaping an adolescent's self-perception.
C. Morals and values: While having a strong sense of morals and values can positively influence self-esteem, they may not be the most critical factor for all adolescents.
D. Body imagE. During adolescence, body image plays a significant role in shaping self-esteem. Adolescents are often sensitive to physical appearance changes and may experience fluctuations in self-esteem based on how they perceive their bodies compared to societal ideals.
Correct Answer is D
Explanation
A. Crush the pill and add it to applesaucE. Crushing a pill and mixing it with food or drink without consulting a healthcare provider or pharmacist can alter the medication's efficacy or cause adverse effects. This should only be done under professional guidance.
B. Ask the child to try swallowing the pill and offer a choice of drinks to take with it: While encouraging the child to attempt swallowing the pill with various drinks may be helpful, it may not address the underlying issue of pill-swallowing difficulty.
C. Call the pharmacy and ask if the pill can be crusheD. Contacting the pharmacy to inquire about crushing the pill is a reasonable step, but ultimately, the decision should involve the healthcare provider who prescribed the medication.
D. Request that the healthcare provider prescribe the medication in liquid form: This is the best response because liquid medications are often easier for children to swallow, especially if they have difficulty swallowing pills. The healthcare provider can consider alternative formulations or dosage forms to accommodate the child's needs.
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