A nurse is teaching a parent of a toddler how to prepare for the arrival of their newborn sibling. Which of the following statements by the parent indicates to the nurse an understanding of the teaching?

"I will start sending my toddler to daycare once the baby is born."

"I will anticipate that my toddler might demand to have their pacifier again once their sibling is born."

"I will tell my toddler now about the date their sibling will arrive."

"I will tell my toddler the baby will be their new playmate."

Answer and Explanation

The Correct Answer is B

A. "I will start sending my toddler to daycare once the baby is born." Introducing major changes, like starting daycare, immediately after a new sibling's arrival may cause stress and feelings of rejection. If a change is necessary, it should be introduced well before the baby arrives to allow the toddler time to adjust.

B. "I will anticipate that my toddler might demand to have their pacifier again once their sibling is born." Regression is a common response in toddlers when a new sibling arrives. They may return to earlier behaviors such as wanting a pacifier, asking to be bottle-fed, or having potty-training setbacks. Parents should offer reassurance and patience rather than discouraging these behaviors.

C. "I will tell my toddler now about the date their sibling will arrive." Toddlers have a limited understanding of time, so telling them too early can lead to confusion and anxiety. Instead, parents should introduce the idea gradually and use tangible events (e.g., "When the leaves start falling, the baby will be here").

D. "I will tell my toddler the baby will be their new playmate." A newborn will not be an immediate playmate, and telling a toddler this may lead to disappointment or frustration. Instead, parents should explain that newborns need a lot of care but will grow and play later.

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Correct Answer is ["A","B","D","F","H"]

Explanation

A. Neurologic assessment. Neurologic changes can indicate worsening infection, sepsis, or other serious conditions, requiring immediate follow-up.

B. Hemoglobin. The child's hemoglobin level (9.5 g/dL) is below the normal range (10 to 15.5 g/dL), indicating anemia, which requires monitoring and possible intervention.

C. Peripheral pulses. There is no indication of circulatory compromise or perfusion issues in the given data.

D. WBC. The elevated WBC count (14,000 mm³) suggests an active infection or inflammation, which requires immediate follow-up.

E. Glucose. The glucose level (90 mg/dL) is within normal limits and does not require immediate attention.

F. Abdominal assessment. If the child has an infection, especially a serious bacterial infection, monitoring for abdominal distension, tenderness, or signs of peritonitis is crucial.

G. Pain assessment. While pain assessment is always important, it does not require immediate follow-up unless there are specific pain-related concerns in the provided data.

H. Temperature. Fever is a key sign of infection. Monitoring the child’s temperature is crucial in identifying worsening infection or sepsis.

A. Monitor for constipation. B. Maintain strict 1&O. C. Initiate airborne precautions. D. Encourage bed rest.

Correct Answer is B

Explanation

A. "Monitor for constipation." Constipation is not a common adverse effect of gentamicin. More concerning side effects include nephrotoxicity and ototoxicity.

B. "Maintain strict I&O." Gentamicin can cause nephrotoxicity, so it is essential to monitor intake and output (I&O) closely to assess kidney function and detect early signs of renal impairment.

C. "Initiate airborne precautions." Gentamicin is an antibiotic and does not require airborne precautions. Airborne precautions are used for infections like tuberculosis, measles, and varicella.

D. "Encourage bed rest." Gentamicin does not require bed rest. However, if the child experiences dizziness due to ototoxicity (another adverse effect), activity may need to be limited.

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Body system	Potential Teachings
Gastrointestinal	______
Dental	______
Hematological	_______

A nurse is teaching a parent of a toddler how to prepare for the arrival of their newborn sibling. Which of the following statements by the parent indicates to the nurse an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting an 8-year-old child to the pediatric unit. A nurse is reviewing the child's electronic medical record (EMR). Which of the following findings should the nurse identify as requiring immediate follow-up? Select the 5 findings that require immediate follow-up.

Correct Answer is ["A","B","D","F","H"]

Explanation

A nurse is caring for a child who is to receive the first dose of IV gentamicin. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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