A nurse is reinforcing teaching with a parent of a child who has a greenstick fracture. Which of the following information should the nurse include in the teaching?
The bone bends, causing a microscopic fracture line.
The fracture does not cross through the bone.
The bone is compressed, causing a raised area at the fracture site.
The fracture completely divides the bone.
The Correct Answer is B
The fracture does not cross through the bone. Choice A reason:
The statement in Choice A is incorrect because it describes a greenstick fracture as the bone bending and causing a microscopic fracture line. This is not true for a greenstick fracture. A greenstick fracture is an incomplete fracture where the bone bends and partially breaks on one side while remaining intact on the other side. The rationale for this is that pediatric bones are more flexible than adult bones, and when a force is applied, they tend to bend rather than completely break.
Choice B reason:
Choice B is the correct answer. A greenstick fracture does not cross through the bone; it involves only one side of the bone being broken while the other side remains intact. This type of fracture is common in children because their bones are still developing and contain more collagen, making them more flexible and prone to bending rather than breaking completely.
Choice C reason:
The statement in Choice C is incorrect because it describes a different type of fracture. A compressed fracture involves the bone being crushed or shortened, leading to a raised area at the fracture site. This is not characteristic of a greenstick fracture, which involves bending and partial breakage rather than compression.
Choice D reason:
The statement in Choice D is incorrect because it describes a complete fracture that completely divides the bone into two separate pieces. A greenstick fracture, as explained earlier, is an incomplete fracture and does not completely divide the bone.
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Correct Answer is C
Explanation
Choice C reason: The infant makes babbling sounds. At 6 months of age, it is typical for infants to engage in babbling sounds. Babbling is a significant milestone in language development during infancy. It involves the repetition of consonant-vowel combinations (e.g., "ba-ba,”. "ma-ma") and is an essential precursor to later language skills, such as forming words and sentences. The nurse should expect the 6-month-old infant to be making these babbling sounds as part of their normal development.
Choice A reason:
The infant has a pincer grasp. A pincer grasp is the ability to pick up small objects using the thumb and index finger. This fine motor skill typically develops around 9 to 12 months of age. At 6 months old, infants have not yet acquired the pincer grasp. Therefore, the nurse should not expect the 6-month-old infant to demonstrate this skill during the assessment.
Choice D reason:
The infant crawls on their hands and knees. Crawling is a gross motor skill that usually emerges between 7 to 10 months of age. While some infants may start crawling earlier or later, it is not a skill that is typically present in a 6-month-old. Therefore, the nurse should not anticipate the 6-month-old infant to be crawling on their hands and knees during the assessment.
Choice B reason:
The infant drops objects with the expectation of someone picking them up. This behavior, known as "object permanence,”. is a cognitive milestone that develops around 8 to 12 months of age. At 6 months old, infants have not yet fully developed this concept. They might drop objects as part of their exploratory behavior, but they do not yet understand the expectation of someone picking them up. Therefore, the nurse should not expect the 6- month-old infant to exhibit this specific behavior during the assessment.
Correct Answer is B
Explanation
Choice A reason: Following the rupture of membranes, delivery is imminent and administration of glucocorticoids may not take effect to benefit the baby.
Choice B reason:
Monitoring the client's temperature (Choice B) is important as the client is at risk of chorioamnionitis which may increase the risk of severe early neonatal sepsis. Changes in temperature as they may warrant anibiotic therapy and immediate delivery.
Choice C reason:
Giving calcium gluconate (Choice C) is not indicated in this situation. Calcium gluconate is typically administered in cases of magnesium sulfate toxicity or to treat hypocalcemia, neither of which is mentioned in the scenario. Therefore, it is not the appropriate action for the nurse to take at this time.
Choice D reason:
Preparing the client for an amniocentesis (Choice D) is not the correct action in this situation. An amniocentesis is a procedure in which a small amount of amniotic fluid is withdrawn for various diagnostic reasons, such as genetic testing or assessing fetal lung maturity. However, in this scenario, the priority is to administer glucocorticoids to promote fetal lung maturity, and an amniocentesis does not address this immediate concern.
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