A nurse is providing teaching to the guardians of an infant who requires a Pavlik harness.

Which of the following instructions should the nurse include?

Apply baby powder under the harness straps daily.

Massage lotion into the skin under the harness twice per day.

Adjust the harness straps daily.

Place the diaper under the straps of the harness.

Answer and Explanation

The Correct Answer is D

A. Applying baby powder under the harness straps may cause irritation and should be avoided.

B. Massaging lotion into the skin under the harness is not necessary and may lead to skin irritation or interfere with the harness's function.

C. Adjusting the harness straps daily is important to ensure a proper fit as the infant grows.

D. Placing the diaper under the straps of the harness helps to prevent irritation and allows for a more secure fit of the harness. It also helps to keep the diaper in place.

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Correct Answer is A

Explanation

A. A toddler's repeated refusal to let a nurse perform a routine medical assessment may indicate fear or discomfort around adults, which could be a potential indicator of child abuse or neglect.

B. A mother's hesitation to comfort her 6-month-old infant may be due to various reasons, such as cultural differences, lack of confidence, or personal preferences. It is not necessarily indicative of child abuse.

C. Bruises on a toddler's knees are a common finding in active children who are learning to walk and explore their environment. While bruises should always be assessed, they are not automatically indicative of child abuse.

D. An 8-month-old infant crying when a parent leaves the room is a normal separation anxiety response for an infant of this age and is not indicative of child abuse. This behavior is part of normal infant development.

A. BUN 12 mg/dL B. BUN 6 mg/dL C. Creatinine 1.4 mg/dL D. Creatinine 0.3 mg/dL

Correct Answer is C

Explanation

A. Blood urea nitrogen (BUN) of 12 mg/dL is within the normal range for a child.

B. Blood urea nitrogen (BUN) of 6 mg/dL is within the normal range for a child.

C. A creatinine level of 1.4 mg/dL is elevated and may indicate impaired kidney function.
This value should be reported to the provider, especially in the context of gentamicin administration, as gentamicin can be nephrotoxic.

D. Creatinine level of 0.3 mg/dL is within the normal range for a child.

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A nurse is providing teaching to the guardians of an infant who requires a Pavlik harness. Which of the following instructions should the nurse include?

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A nurse is providing teaching to the guardians of an infant who requires a Pavlik harness.

Which of the following instructions should the nurse include?