A nurse is caring for a child with known cognitive impairment. Which of the following is the nurse’s highest priority in the assessment of a child with cognitive impairment?

Speech and communication abilities

Physical mobility and safety measures

Cognitive development and educational needs

Social and emotional well-being

Answer and Explanation

The Correct Answer is B

A.   Speech and communication abilities are important, but physical safety must come first to prevent accidents or injuries.
B.   Safety measures are the highest priority, as children with cognitive impairments may have physical or developmental limitations that increase the risk of falls, accidents, or other harm.
C.   Cognitive development and educational needs are important but should be addressed after ensuring
the child’s physical safety.

D.   Social and emotional well-being are essential aspects of care, but the immediate focus should be on preventing harm.

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Correct Answer is C

Explanation

A. A soft, non-tender abdomen would be normal and not suggestive of any specific pathology.
B. A normal appearing perineum would not be expected with an anorectal malformation, which typically presents with a visible defect in the perineum.
C. Meconium leakage via the vagina or urethra is a possible sign of an anorectal malformation. This could occur if there is a fistula connecting the gastrointestinal tract to the urinary or genital tract.
D. Poor sucking reflex is not directly associated with anorectal malformations but may occur in certain other conditions, such as central nervous system issues.

A. Thickened the formula with cereal. B. Infant should be laying back C. Position the infant in an upright position during feedings D. Nasogastric tube may be needed.

Correct Answer is C

Explanation

A. Thickening the formula with cereal is generally not recommended for infants with a cleft lip and palate as it can cause additional feeding difficulties.
B. Positioning the infant laying back can increase the risk of aspiration and is not recommended. An upright position helps reduce the risk of aspiration.
C. Positioning the infant upright during feedings helps reduce the risk of aspiration and facilitates better feeding for infants with cleft lip and palate.
D. A nasogastric tube may be needed if the infant is unable to feed orally due to the severity of the cleft, but this is not a routine part of feeding education.

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A nurse is caring for a child with known cognitive impairment. Which of the following is the nurse’s highest priority in the assessment of a child with cognitive impairment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a female newborn with an apparent anorectal malformation. The nurse should assess the infant for which of the following other potential finding?

Correct Answer is C

Explanation

A nurse is providing education about feedings to the parents of a newborn with a cleft lip and palate. The education includes the use of a specialized bottle/nurser, offering frequent short feedings, and burping more frequently. What other education should the nurse include?

Correct Answer is C

Explanation

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