A nurse is assessing a postmature infant.
Which of the following findings would the nurse expect? (Select all that apply.)

Cracked, peeling skin.

Positive moro reflex.

Creases covering soles of feet.

Short soft fingernails.

Vernix in the folds and creases.

Answer and Explanation

Correct Answer : C

Choice A rationale

Applying petroleum jelly to the umbilical cord stump is discouraged as it may trap moisture, creating an environment conducive to bacterial growth. Dry cord care is preferred to reduce the risk of infection.

Choice B rationale

Washing the cord daily with soap and water is unnecessary and could lead to irritation or prolonged drying time. The cord stump requires minimal handling to promote natural healing and detachment.

Choice C rationale

Giving sponge baths ensures the cord stump remains dry, which is essential for preventing infection and expediting natural detachment. This method avoids soaking the stump, reducing the risk of maceration or bacterial colonization.

Choice D rationale

Covering the umbilical cord stump with a diaper increases moisture retention, which can delay healing. Proper diaper placement below the stump is recommended to minimize irritation and promote airflow.

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Correct Answer is D

Explanation

Choice A rationale

Exercise is encouraged for cystic fibrosis patients as it improves respiratory function and overall physical health. Outdoor activities like swinging and running benefit the child by promoting lung clearance through increased breathing depth, which supports disease management and physical development.

Choice B rationale

Chest therapy and postural drainage improve mucus clearance and lung function in cystic fibrosis patients. Performing these interventions regularly ensures respiratory health by reducing mucus accumulation and preventing infections, promoting the child’s well-being.

Choice C rationale

High-protein, high-calorie diets are essential for cystic fibrosis patients due to increased metabolic demands. Supplementing the diet with high-calorie formula supports weight gain and compensates for malabsorption. These interventions are pivotal for growth and energy maintenance.

Choice D rationale

Pancreatic enzymes are crucial for digestion and nutrient absorption in cystic fibrosis patients, as pancreatic insufficiency leads to malabsorption. Even with good appetite and bowel movements, skipping enzyme supplementation results in nutrient deficiencies, growth delays, and gastrointestinal issues.

A. The newborn with a red raised capillary hemangioma on the left forearm. B. The newborn with a heart rate of 154 beats/minute. C. The newborn with a respiratory rate of 72 breaths/minute. D. The newborn with whitish, hardened nodules on the gums of the mouth.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

Difficulty feeding in infants can result from fatigue caused by inadequate oxygen delivery to tissues due to heart failure. Feeding is a demanding activity that requires energy and coordination, making it an early symptom of cardiac compromise in pediatric patients.

Choice B rationale

Wheezes or rales are caused by pulmonary congestion or edema, which occur in heart failure due to increased pulmonary venous pressure. This congestion results in fluid accumulation in the alveoli, leading to abnormal breath sounds. These findings require prompt evaluation.

Choice C rationale

Edema in the feet and legs results from systemic venous congestion caused by right-sided heart failure. Increased hydrostatic pressure in peripheral veins leads to fluid leakage into interstitial spaces, causing swelling, especially in dependent areas.

Choice D rationale

Tachypnea occurs as a compensatory mechanism in heart failure. Poor cardiac output reduces oxygen delivery, triggering the respiratory center to increase the breathing rate to improve oxygen uptake and delivery. It is an early sign of cardiopulmonary compromise in children.

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A nurse is assessing a postmature infant.Which of the following findings would the nurse expect? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

The nurse is preparing a 2-year-old child with cystic fibrosis for discharge home.Which statement made by the parents suggests that additional education is necessary?

Correct Answer is D

Explanation

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Correct Answer is ["A","B","C","D"]

Explanation

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A nurse is assessing a postmature infant.
Which of the following findings would the nurse expect? (Select all that apply.)