A nurse is providing teaching to a parent who reports feeling overwhelmed and frustrated because their newborn has persistent, inconsolable crying despite all of the usual soothing measures. Which complication should the nurse stress the importance of preventing through immediate and thorough parental education?
Infections caused by inadequate diaper changes
Colic as a common cause of crying in newborns
Failure to thrive related to poor feeding techniques
Shaken baby syndrome due to parental frustration and excessive crying
The Correct Answer is D
A. Infections caused by inadequate diaper changes: While proper hygiene is important, persistent crying itself does not directly cause infections, so this is not the primary concern in this scenario.
B. Colic as a common cause of crying in newborns: Colic can explain inconsolable crying, but education about colic alone does not address the serious safety risks associated with caregiver frustration.
C. Failure to thrive related to poor feeding techniques: Although inadequate feeding can contribute to failure to thrive, the scenario focuses on parental stress and the risk of harm from inconsolable crying, making this a secondary concern.
D. Shaken baby syndrome due to parental frustration and excessive crying: Persistent inconsolable crying is a major risk factor for caregiver frustration, which can lead to abusive actions such as shaken baby syndrome. Immediate education on safe coping strategies is crucial to prevent serious injury or death.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Monitor intake and output: Monitoring hydration is important in children with pertussis due to vomiting after coughing spells, but it is not the immediate priority in the paroxysmal stage. Stabilizing the child and minimizing triggers that worsen coughing takes precedence.
B. Provide a nutritious meal: During the paroxysmal stage, coughing fits can be severe and are often followed by vomiting. Offering meals too early may increase the risk of emesis and aspiration rather than support recovery.
C. Request play activities from the play therapist: Excessive stimulation, including play, can precipitate coughing paroxysms in pertussis. Activity should be limited during acute episodes to reduce respiratory distress.
D. Allow the child to sleep and take a nap: Rest and reduced stimulation are priorities during the paroxysmal stage of pertussis. Sleep helps conserve energy, decreases coughing triggers, and supports respiratory stability during this critical phase.
Correct Answer is C
Explanation
A. Diphtheria: Diphtheria, caused by Corynebacterium diphtheriae, primarily affects the upper respiratory tract and is characterized by a thick pseudomembrane in the throat and systemic toxin effects. Koplik spots are not associated with this bacterial infection.
B. Poliomyelitis: Poliomyelitis is caused by the poliovirus and primarily affects motor neurons, potentially leading to paralysis. Oral mucosal manifestations such as Koplik spots are not present in this viral illness.
C. Measles (rubeola): Measles, caused by the measles virus, is characterized by prodromal fever, cough, coryza, conjunctivitis, and the appearance of Koplik spots on the buccal mucosa. These small, white or bluish-white lesions with a red base are pathognomonic for measles and appear 1–2 days before the skin rash.
D. Fifth disease (erythema infectiosum): Fifth disease, caused by parvovirus B19, presents with a “slapped cheek” rash and mild systemic symptoms. Koplik spots are not a feature of this illness.
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