A nurse is reinforcing teaching with the parents of a 10-week-old infant who is scheduled for surgical repair of a cleft lip. Which of the following pieces of information should the nurse include?

"You should give your baby a pacifier when she cries."

"Your baby will be placed in elbow restraints following surgery."

"Your baby cannot have anything by mouth until 2 hours after surgery."

"You should position your baby on her abdomen following surgery.".

Answer and Explanation

The Correct Answer is B

The correct answer is choice b. “Your baby will be placed in elbow restraints following surgery.”

Choice A rationale:

Giving a pacifier to a baby after cleft lip surgery is generally not recommended as it can put pressure on the surgical site and potentially disrupt the healing process.

Choice B rationale:

Elbow restraints are used to prevent the infant from touching or rubbing the surgical site, which helps in protecting the stitches and ensuring proper healing.

Choice C rationale:

Infants are usually allowed to have fluids by mouth soon after surgery, often within a few hours, to ensure they stay hydrated and to monitor their ability to swallow.

Choice D rationale:

Positioning the baby on their abdomen is not recommended as it can put pressure on the surgical site. Instead, the baby should be positioned on their back or side to avoid any pressure on the repaired lip

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Correct Answer is A

Explanation

Choice A rationale:
A positive leukocyte esterase test indicates the presence of white blood cells (leukocytes) in the urine, which can be an indicator of a urinary tract infection (UTI). White blood cells are part of the body's immune response and their presence in the urine suggests inflammation and infection in the urinary tract.
Choice B rationale:
Deep gold-colored urine is not typically associated with a urinary tract infection. Normally, urine color can vary based on hydration, diet, and other factors, but color alone is not a reliable indicator of a UTI.
Choice C rationale:
The osmolality of 700 mOsm/L is not a specific finding related to urinary tract infections. Osmolality measures the concentration of particles in the urine and can vary based on hydration status. While it might be elevated in a concentrated urine sample, it is not a direct indicator of a UTI.
Choice D rationale:
A specific gravity of 1.015 is within the normal range and does not necessarily indicate a urinary tract infection. Specific gravity measures the concentration of solutes in the urine and can be influenced by hydration levels and kidney function. A UTI would primarily be indicated by the presence of white blood cells and other signs of infection in the urine.

A. A 34-month-old child who has several small bruises on the shins. B. A 6-year-old child who has a fracture of the arm from a bicycle injury. C. A 15-month-old child who bites other children while at daycare. D. A 4-year-old child who has a history of frequent urinary tract infections.

Correct Answer is D

Explanation

A history of frequent urinary tract infections (UTIs) is a sign of child maltreatment. It may indicate sexual abuse, which can introduce bacteria into the urinary tract.Sexual abuse may also cause genital or anal trauma, sexually transmitted infections, or pregnancy 1. UTIs are uncommon in children, especially in boys.The normal frequency of UTIs in children is around 1 in 10 girls and 1 in 30 boys by the age of 16 years

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A nurse is reinforcing teaching with the parents of a 10-week-old infant who is scheduled for surgical repair of a cleft lip. Which of the following pieces of information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has a urinary tract infection. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse in a well-child clinic is collecting data from four clients. Which of the following findings should the nurse report to the provider as a potential indication of child maltreatment?

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a school-age child who was admitted for suspected physical maltreatment. Which of the following findings in the child's medical history should the nurse identify as a potential risk factor for physical maltreatment?

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