A nurse is preparing to examine a preschooler during a well-child visit.
Which of the following actions should the nurse take to prepare the child?

Perform the most invasive assessment first.

Separate the child from the caregiver during the examination.

Allow the child to role-play using miniature equipment.

Use medical terminology to describe what happened.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Performing the most invasive assessment first can cause distress and fear in a preschooler. It’s generally recommended to start with less invasive procedures to build trust and cooperation.

Choice B rationale

Separating a child from their caregiver during an examination can cause anxiety and fear. It’s often beneficial to have the caregiver present during the examination to provide comfort and reassurance.

Choice C rationale

Allowing a child to role-play using miniature equipment can help alleviate fears and anxieties about the examination. It gives the child a sense of control and understanding of what to expect.

Choice D rationale

While it’s important to explain procedures to a child, using medical terminology can confuse and scare them. It’s better to use simple, age-appropriate language that the child can understand.

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Correct Answer is ["C","D","E"]

Explanation

Choice A rationale

Avoiding stimulation is not a necessary intervention for a newborn receiving phototherapy. Phototherapy is a treatment for jaundice where the exposure of skin to a light source converts unconjugated bilirubin molecules into water-soluble isomers that can be excreted by the usual pathways. There is no specific need to avoid stimulation during this treatment.

Choice B rationale

Decreasing fluid intake is not a recommended intervention for a newborn receiving phototherapy. In fact, adequate hydration is important during phototherapy to promote the excretion of bilirubin. Therefore, fluid intake should not be decreased.

Choice C rationale

Monitoring skin temperature closely is a necessary intervention for a newborn receiving phototherapy. The lights used in phototherapy can generate heat, so it’s important to monitor the baby’s temperature to prevent overheating.

Choice D rationale

Covering the newborn’s eyes with eye shields or patches is a necessary intervention during phototherapy. This is done to protect the baby’s eyes from the bright lights used in the treatment.

Choice E rationale

Repositioning the newborn every 2 hours is a necessary intervention during phototherapy. This helps to expose different areas of the baby’s skin to the light, which can improve the effectiveness of the treatment.

A. 3 months. B. 6 months. C. 9 months. D. 12 months.

Correct Answer is B

Explanation

Choice A rationale

While some babies may experience rapid growth and double their birth weight within the first 3 months, this is not typically expected. Most infants are expected to double their birth weight by 5 to 6 months of age.

Choice B rationale

Most infants are expected to double their birth weight by 5 to 6 months of age. Therefore, by the age of 6 months, it would be expected for an infant to have doubled their birth weight.

Choice C rationale

By 9 months, most infants would have already doubled their birth weight. The typical expectation is for infants to double their birth weight by 5 to 6 months of age.

Choice D rationale

By 12 months, most infants would have already doubled their birth weight and are on their way to tripling their birth weight. Therefore, expecting an infant to double their birth weight by 12 months would be beyond the typical timeframe.

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A nurse is preparing to examine a preschooler during a well-child visit.Which of the following actions should the nurse take to prepare the child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to care for a newborn receiving phototherapy.Which interventions should be included in the plan of care? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

A nurse is collecting data from an infant at a well-child visit.The nurse should expect the infant to double his birth weight by which of the following ages?

Correct Answer is B

Explanation

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A nurse is preparing to examine a preschooler during a well-child visit.
Which of the following actions should the nurse take to prepare the child?