A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
"Prepare your 3-year-old child for a change in all of their routines."
"Provide a doll for your 3-year-old child to imitate parental behaviors."
"Tell your 3-year-old child that they will now have a new playmate."
"Wait for the newborn to come home before moving your 3-year-old child from
The Correct Answer is B
A. Preparing for a change in all routines may cause unnecessary anxiety for the child. Changes should be introduced gradually and as needed.
B. Providing a doll allows the child to imitate parental behaviors, fostering a sense of involvement and understanding.
C. Simply informing the child about a new playmate may not adequately prepare them for the arrival of a sibling.
D. Waiting for the newborn to come home before transitioning the older child from a crib to a bed may not be necessary and could delay the transition unnecessarily.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Providing the child with a warm blanket can help keep the child comfortable during the course of the illness but initiating airborne precautions is best intervention required.
B. Assessing the oral cavity for Koplik spots is not relevant for varicella, as Koplik spots are associated with measles.
C. Administering aspirin for fever is contraindicated in children with varicella due to the risk of Reye's syndrome.
D. The nurse should initiate airborne precautions, which include placing the child in a private room with negative air pressure, wearing a mask or respirator when entering the room, and limiting visitors and staff exposure. Airborne precautions prevent the transmission of varicella through small droplets that can remain suspended in the air for long periods of time.
Correct Answer is B
Explanation
Rationale:
A) Placing the child in a prone position can obstruct the airway and increase the risk of aspiration.
B) Clearing the area of hard objects helps prevent injury during a seizure.
C) Inserting a tongue blade between the teeth can cause oral trauma and should be avoided.
D) Minimizing movement of the limbs is not necessary during a seizure; the focus should be on ensuring safety and preventing injury.
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