A nurse is reinforcing education to the parents of a newborn who has Down syndrome. Which of the following actions should the nurse take?
Recommending early intervention services for developmental support within the first month after birth.
Suggesting the parents consider genetic testing to guide future reproductive decisions.
Encouraging the parents to research advancements in treatments for Down syndrome independently.
Providing the parents with a list of local pediatricians for well-child check-ups and vaccinations.
The Correct Answer is A
A. Recommending early intervention services for developmental support within the first month after birth. Early intervention is critical for children with Down syndrome to support cognitive, motor, and social development. Services such as physical therapy, speech therapy, and occupational therapy should begin as soon as possible to maximize the child's developmental potential.
B. Suggesting the parents consider genetic testing to guide future reproductive decisions. While genetic counseling can be beneficial for family planning, this is not the immediate priority for parents who are just beginning to care for their newborn with Down syndrome. The focus should be on supporting the child's development and parental education.
C. Encouraging the parents to research advancements in treatments for Down syndrome independently. While learning about Down syndrome is important, parents should receive guidance from healthcare professionals and support organizations rather than being left to navigate information on their own. Providing credible resources is more appropriate.
D. Providing the parents with a list of local pediatricians for well-child check-ups and vaccinations. While pediatric follow-ups are necessary, Down syndrome care goes beyond standard well-child visits. A more comprehensive approach includes early intervention services, specialty care (e.g., cardiology, ENT), and developmental support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ask the parents to escort the child's sibling to the family lounge so they are not in the child's room. Removing the sibling from the room does not address their distress or emotional needs. Siblings of hospitalized children may experience fear, anxiety, or feelings of exclusion, and they need support, not isolation.
B. Consult the child life specialist to provide age-appropriate activities and emotional support to the sibling. Child life specialists are trained to help children understand and cope with hospitalization through play, education, and emotional support. They can help the sibling process their emotions in an age-appropriate way.
C. Provide the sibling with coloring pages and crayons to keep them occupied in the child's room. While coloring can be a helpful distraction, it does not address the sibling’s distress or provide the emotional support they may need to understand their sibling’s condition.
D. Offer the sibling a tour of the hospital unit to help them become more familiar with the environment. A tour may help the child feel more comfortable, but it does not directly address their distress or emotions regarding their sibling’s hospitalization.
Correct Answer is ["120"]
Explanation
Calculate the total drops per hour:
Formula:
Total drops/hour = Volume (mL/hr) x Drop factor (gtt/mL)
=120 mL/hr x 60 gtt/mL
= 7200 gtt/hr
Calculate the drops per minute:
Formula:
Drops per minute (gtt/min) = Total drops/hour / 60 minutes/hour
=7200 gtt/hr / 60 min/hr
= 120 gtt/min
The nurse should set the IV flow rate to deliver 120 gtt/min.
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